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1144509225
SHEU-LUN JASON MOK
ALTON, IL
NPI
1144509225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019029779)
Additional Taxonomies
122300000X Dentist
(Licence: KY 9052)
Enumeration Date
2011-08-08
Last Update Date
2014-08-14
Business Address
Dr. SHEU-LUN JASON MOK D.M.D
2800 COLLEGE AVE
ALTON, IL 62002-4742
Phone number: 618-474-7006
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Mailing Address
Dr. SHEU-LUN JASON MOK D.M.D
9 RIVER REACH CT APARTMENT #B
ALTON, IL 62002-7396
Phone number: 859-396-6663
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