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1386380814
VITALIY DUSHNOV
URBANA, IL
NPI
1386380814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: IL 125.079652)
Enumeration Date
2022-05-09
Last Update Date
2022-05-09
Business Address
VITALIY DUSHNOV DO
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-326-1293
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Mailing Address
VITALIY DUSHNOV DO
4411 FARMINGTON LN
JOHNSBURG, IL 60051-5136
Phone number: 847-772-3205
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