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1114065356
THOMAS E STANDLEY
CHAMPAIGN, IL
NPI
1114065356
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019023924)
Enumeration Date
2007-02-01
Last Update Date
2007-07-08
Business Address
-- THOMAS E STANDLEY DMD
30 E GREEN STREET SUITE 1
CHAMPAIGN, IL 61820
Phone number: 217-355-5600
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Mailing Address
-- THOMAS E STANDLEY DMD
30 E GREEN STREET SUITE 1
CHAMPAIGN, IL 61820
Phone number: 217-355-5600
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