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1497283774
LARISA GEORGY CIATLOS-DEAK
DECATUR, IL
NPI
1497283774
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Former Name
LARISA RUDICA DEAK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036153610)
Enumeration Date
2017-05-31
Last Update Date
2020-07-15
Business Address
Miss LARISA GEORGY CIATLOS-DEAK MD
4965 E LOST BRIDGE RD
DECATUR, IL 62521-5139
Phone number: 217-864-5531
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Mailing Address
Miss LARISA GEORGY CIATLOS-DEAK MD
4965 E LOST BRIDGE RD
DECATUR, IL 62521-5139
Phone number: 217-864-5531
Copy
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