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1417202607
JITENDRAKUMAR PATEL
SPRINGFIELD, IL
NPI
1417202607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019029119)
Enumeration Date
2012-07-13
Last Update Date
2012-07-13
Business Address
-- JITENDRAKUMAR PATEL DDS
802 N 9TH ST
SPRINGFIELD, IL 62702-6309
Phone number: 630-248-2526
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Mailing Address
-- JITENDRAKUMAR PATEL DDS
1636 TORONTO RD APT 7
SPRINGFIELD, IL 62712-3716
Phone number:
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