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1265442255
SUSAN A. CARROLL
HOMER GLEN, IL
NPI
1265442255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019021709)
Enumeration Date
2006-08-09
Last Update Date
2007-07-08
Business Address
-- SUSAN A. CARROLL D.D.S.
15915 S CRYSTAL CREEK DR STE B
HOMER GLEN, IL 60491-9381
Phone number: 708-301-8660
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Mailing Address
-- SUSAN A. CARROLL D.D.S.
15915 S CRYSTAL CREEK DR STE B
HOMER GLEN, IL 60491-9381
Phone number: 708-301-8660
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