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1215915962
STEVEN ROAT
PEORIA, IL
NPI
1215915962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IL 036-098574)
Enumeration Date
2006-01-04
Last Update Date
2007-07-08
Business Address
-- STEVEN ROAT
5409 N KNOXVILLE AVE
PEORIA, IL 61615
Phone number: 309-682-7750
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Mailing Address
-- STEVEN ROAT
PO BOX 3853
PEORIA, IL 61612-3853
Phone number:
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