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1215786835
JERRY BRIAN VINCENT
WOOD DALE, IL
NPI
1215786835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: IL 038.014151)
Enumeration Date
2024-05-15
Last Update Date
2024-05-16
Business Address
JERRY BRIAN VINCENT DC
199 S ADDISON RD STE 106
WOOD DALE, IL 60191-1978
Phone number: 630-766-1552
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Mailing Address
JERRY BRIAN VINCENT DC
780 E IRVING PARK RD STE 2W
ROSELLE, IL 60172-4343
Phone number: 706-728-5109
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