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1245346691
DANIEL BOMMELJE
MATTOON, IL
NPI
1245346691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 036-093246)
Enumeration Date
2006-08-21
Last Update Date
2024-11-01
Business Address
DANIEL BOMMELJE D.O.
1000 HEALTH CENTER DR
MATTOON, IL 61938-9261
Phone number: 217-258-2551
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Mailing Address
DANIEL BOMMELJE D.O.
PO BOX 372
MATTOON, IL 61938-0372
Phone number:
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