JOHN S ANDERSON

CHAMPAIGN, IL
NPI1215387501
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019.030678)
Enumeration Date2016-06-16
Last Update Date2016-06-16
Business Address
-- JOHN S ANDERSON
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820-2101
Phone number: 217-403-5477
Mailing Address
-- JOHN S ANDERSON
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820-2101
Phone number: 217-403-5477
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