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1467533646
RICHARD G. BURSUA
MARION, IL
NPI
1467533646
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046006213)
Enumeration Date
2006-10-17
Last Update Date
2009-02-09
Business Address
Dr. RICHARD G. BURSUA O.D.
1306 N . RUSSELL ST.
MARION, IL 62959
Phone number: 618-997-6438
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Mailing Address
Dr. RICHARD G. BURSUA O.D.
PO BOX 1689
MARION, IL 62959-7889
Phone number: 618-997-6438
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