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1457199689
SHADI MOHEBI
CHAMPAIGN, IL
NPI
1457199689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: MA DL15906)
Enumeration Date
2024-07-20
Last Update Date
2024-07-20
Business Address
SHADI MOHEBI
1715 BROADMOOR DR STE A
CHAMPAIGN, IL 61821-5984
Phone number: 217-886-8217
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Mailing Address
SHADI MOHEBI
4008 TURNBERRY DR
CHAMPAIGN, IL 61822-8512
Phone number: 216-835-6067
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