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1336186113
DARRYL FERNANDES
NORMAL, IL
NPI
1336186113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208C00000X Colon & Rectal Surgery
(Licence: IL 036108683)
Enumeration Date
2006-06-01
Last Update Date
2012-10-10
Business Address
-- DARRYL FERNANDES MD
1300 FRANKLIN AVE STE 210
NORMAL, IL 61761-3588
Phone number: 309-452-1193
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Mailing Address
-- DARRYL FERNANDES MD
1300 FRANKLIN AVE STE 210
NORMAL, IL 61761-3588
Phone number: 309-452-1193
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