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1447323456
PAUL A BRUGGEMAN
CRYSTAL LAKE, IL
NPI
1447323456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 19A14532)
Enumeration Date
2006-11-16
Last Update Date
2007-07-08
Business Address
Dr. PAUL A BRUGGEMAN DDS
17 S VIRGINIA ROAD
CRYSTAL LAKE, IL 60014
Phone number: 815-455-3123
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Mailing Address
Dr. PAUL A BRUGGEMAN DDS
17 S VIRGINIA ROAD
CRYSTAL LAKE, IL 60014
Phone number: 815-455-3123
Copy
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