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1396063186
SOONTRI S JONG
URBANA, IL
NPI
1396063186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
(Licence: IL 036-05880)
Enumeration Date
2010-05-04
Last Update Date
2010-05-04
Business Address
Dr. SOONTRI S JONG M.D.
407 POND RIDGE LN
URBANA, IL 61802-7117
Phone number: 217-954-0595
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Mailing Address
Dr. SOONTRI S JONG M.D.
407 POND RIDGE LN
URBANA, IL 61802-7117
Phone number: 217-954-0595
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