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1457462558
GARY BRETT WESTERN
SPRINGFIELD, IL
NPI
1457462558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: IL 036-106083)
Enumeration Date
2006-08-31
Last Update Date
2020-05-19
Business Address
GARY BRETT WESTERN MD
800 N. 1ST STREET
SPRINGFIELD, IL 62702
Phone number: 217-528-7541
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Mailing Address
GARY BRETT WESTERN MD
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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