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1215994843
GERALD LEE LEVISAY
SPRING VALLEY, IL
NPI
1215994843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: IL 3651002)
Enumeration Date
2006-04-27
Last Update Date
2010-06-08
Business Address
-- GERALD LEE LEVISAY MD
600 E 1ST ST
SPRING VALLEY, IL 61362-1512
Phone number: 815-664-5367
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Mailing Address
-- GERALD LEE LEVISAY MD
600 E 1ST ST
SPRING VALLEY, IL 61362-1512
Phone number: 815-664-5367
Copy
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