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1467431171
LAFAYETTE BARON BELK
GREAT LAKES, IL
NPI
1467431171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: VA 0401006640)
Enumeration Date
2006-01-11
Last Update Date
2007-07-08
Business Address
-- LAFAYETTE BARON BELK dds
3001 6TH ST
GREAT LAKES, IL 60088-2833
Phone number: 847-688-2100
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Mailing Address
-- LAFAYETTE BARON BELK dds
3001 6TH ST NAVAL HOSPITAL GREAT LAKES
GREAT LAKES, IL 60088-2833
Phone number: 847-688-2100
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