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1386932192
ANGELA STORK
SILVIS, IL
NPI
1386932192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: IA R9668)
Additional Taxonomies
208600000X Surgery
(Licence: AZ R72675)
Enumeration Date
2011-07-13
Last Update Date
2022-07-21
Business Address
ANGELA STORK MD
855 ILLINI DR STE 304
SILVIS, IL 61282-2904
Phone number: 309-281-2120
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Mailing Address
ANGELA STORK MD
855 ILLINI DR STE 304
SILVIS, IL 61282-2904
Phone number: 309-281-2120
Copy
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