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1194866699
BRUCE GAIL SAMMONS
CHAMPAIGN, IL
NPI
1194866699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019014670)
Enumeration Date
2007-02-09
Last Update Date
2007-07-08
Business Address
Dr. BRUCE GAIL SAMMONS
3003 VILLAGE OFFICE PLACE
CHAMPAIGN, IL 61822-7674
Phone number: 217-359-4246
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Mailing Address
Dr. BRUCE GAIL SAMMONS
3003 VILLAGE OFFICE PLACE
CHAMPAIGN, IL 61822-7674
Phone number: 217-359-4246
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