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1538613880
ALEXANDER JAMES BOERCKEL
PEORIA, IL
NPI
1538613880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019.030868)
Enumeration Date
2016-08-03
Last Update Date
2020-12-10
Business Address
ALEXANDER JAMES BOERCKEL D.M.D
4517 N ROCKWOOD DR
PEORIA, IL 61615-3841
Phone number: 309-688-0121
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Mailing Address
ALEXANDER JAMES BOERCKEL D.M.D
4517 N ROCKWOOD DR
PEORIA, IL 61615-3841
Phone number: 309-688-0121
Copy
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