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1144392499
CHARLES SCOTT DEHAAN
ROCKFORD, IL
NPI
1144392499
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036-064615)
Enumeration Date
2006-11-14
Last Update Date
2013-12-02
Business Address
Dr. CHARLES SCOTT DEHAAN M.D.
124 N WATER ST 208
ROCKFORD, IL 61107-3960
Phone number: 815-312-5810
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Mailing Address
Dr. CHARLES SCOTT DEHAAN M.D.
124 N WATER ST 208
ROCKFORD, IL 61107-3960
Phone number: 815-312-5810
Copy
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