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1174807705
KYLEA MARIE TIBBS-HNIZDO
SPRINGFIELD, IL
NPI
1174807705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019028844)
Enumeration Date
2011-09-30
Last Update Date
2017-03-28
Business Address
Mrs. KYLEA MARIE TIBBS-HNIZDO D.M.D
2239 E COOK ST
SPRINGFIELD, IL 62703-1944
Phone number: 217-788-2300
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Mailing Address
Mrs. KYLEA MARIE TIBBS-HNIZDO D.M.D
415 S 9TH ST
PETERSBURG, IL 62675-1621
Phone number: 217-415-2426
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