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1427219328
JODY A WELLER
BLOOMINGDALE, IL
NPI
1427219328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019020585)
Enumeration Date
2008-06-23
Last Update Date
2023-01-03
Business Address
JODY A WELLER
360 W SCHICK RD STE 17
BLOOMINGDALE, IL 60108-2965
Phone number: 708-805-6565
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Mailing Address
JODY A WELLER
PO BOX 27046
SCOTTSDALE, AZ 85255-0134
Phone number: 708-805-6565
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