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1386663912
GARY LEE FOSTER
ROCKFORD, IL
NPI
1386663912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019-021687)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
Dr. GARY LEE FOSTER dds
6078 PALO VERDE DR
ROCKFORD, IL 61114-8117
Phone number: 815-282-4900
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Mailing Address
Dr. GARY LEE FOSTER dds
6078 PALO VERDE DR
ROCKFORD, IL 61114-8117
Phone number: 815-282-4900
Copy
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