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1205928397
HENRY ANTHONY SAN GERMAN
PEORIA, IL
NPI
1205928397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036-087567)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
Dr. HENRY ANTHONY SAN GERMAN M.D.
6339 N BIG HOLLOW RD
PEORIA, IL 61615-2907
Phone number: 309-693-3315
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Mailing Address
Dr. HENRY ANTHONY SAN GERMAN M.D.
6339 N BIG HOLLOW RD
PEORIA, IL 61615-2907
Phone number: 309-693-3315
Copy
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