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1134483936
JOHNNY C TENEGRA
DECATUR, IL
NPI
1134483936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036-138605)
Enumeration Date
2012-06-27
Last Update Date
2020-12-07
Business Address
Dr. JOHNNY C TENEGRA M.D.
250 W KENWOOD AVE
DECATUR, IL 62526-4371
Phone number: 217-872-3800
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Mailing Address
Dr. JOHNNY C TENEGRA M.D.
250 W KENWOOD AVE
DECATUR, IL 62526-4371
Phone number: 217-872-3800
Copy
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