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1194054452
TRISTATE PROFESSIONAL SERVICES INC
SPRINGFIELD, IL
NPI
1194054452
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Entity Type
Organization
Authorized Contact
ROBERT P EDWARDS
President
217-259-8461
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046006399)
Enumeration Date
2009-12-16
Last Update Date
2009-12-16
Business Address
TRISTATE PROFESSIONAL SERVICES INC
2760 N DIRKSEN PKWY ATTN: WALMART VISION CTR
SPRINGFIELD, IL 62702-1448
Phone number: 217-522-4396
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Mailing Address
TRISTATE PROFESSIONAL SERVICES INC
508 E JACKSON ST
RIVERTON, IL 62561-8064
Phone number: 217-259-8461
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