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1225165103
LEANN A BURCH
LOVES PARK, IL
NPI
1225165103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019026526)
Enumeration Date
2007-02-27
Last Update Date
2007-08-11
Business Address
Dr. LEANN A BURCH DMD
8100 FOREST HILLS RD
LOVES PARK, IL 61111-2709
Phone number: 815-633-9864
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Mailing Address
Dr. LEANN A BURCH DMD
2202 CHURCHVIEW DR UNIT N
ROCKFORD, IL 61107-2687
Phone number: 815-222-8662
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