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1215047063
JACK G GUENTHER
MOKENA, IL
NPI
1215047063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046008314)
Enumeration Date
2006-08-30
Last Update Date
2008-09-25
Business Address
-- JACK G GUENTHER OD
19607 S LAGRANGE ROAD
MOKENA, IL 60448
Phone number: 708-479-1616
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Mailing Address
-- JACK G GUENTHER OD
19607 S LAGRANGE ROAD
MOKENA, IL 60448
Phone number: 708-479-1616
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