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1427003870
CHARLES ANTHONY LOGIUDICE
GENESEO, IL
NPI
1427003870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019-014100)
Enumeration Date
2006-05-24
Last Update Date
2007-07-09
Business Address
Dr. CHARLES ANTHONY LOGIUDICE D.D.S.
216 N CENTER ST
GENESEO, IL 61254-1208
Phone number: 309-944-5101
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Mailing Address
Dr. CHARLES ANTHONY LOGIUDICE D.D.S.
216 N CENTER ST
GENESEO, IL 61254-1208
Phone number: 309-944-5101
Copy
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