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1306879010
MANUEL I DORIA
PEORIA, IL
NPI
1306879010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IL 036068265)
Enumeration Date
2006-07-08
Last Update Date
2012-03-22
Business Address
-- MANUEL I DORIA MD
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-624-9011
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Mailing Address
-- MANUEL I DORIA MD
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-624-9011
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