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1528217593
ELENA DOCKTER
SPRINGFIELD, IL
NPI
1528217593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2008-09-15
Last Update Date
2008-09-15
Business Address
-- ELENA DOCKTER DT
3009 SUMMERWOOD DR
SPRINGFIELD, IL 62712-5862
Phone number: 217-622-7725
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Mailing Address
-- ELENA DOCKTER DT
3009 SUMMERWOOD DR
SPRINGFIELD, IL 62712-5862
Phone number: 217-622-7725
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