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1508214669
KORY BLANK
FAIRFIELD, IL
NPI
1508214669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: IL 125.068544)
Enumeration Date
2016-05-31
Last Update Date
2021-09-13
Business Address
Dr. KORY BLANK M.D
303 NW 11TH ST
FAIRFIELD, IL 62837-1203
Phone number: 618-847-4282
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Mailing Address
Dr. KORY BLANK M.D
213 NW 10TH ST, STE E
FAIRFIELD, IL 62837-1206
Phone number: 618-847-4282
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