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1558661918
SHU SHENG PHUNG
BLOOMINGTON, IL
NPI
1558661918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046.010355)
Enumeration Date
2010-11-01
Last Update Date
2015-08-26
Business Address
-- SHU SHENG PHUNG OD
315 S CENTER ST
BLOOMINGTON, IL 61701-5101
Phone number: 309-827-2337
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Mailing Address
-- SHU SHENG PHUNG OD
2670 DEKALB AVE
SYCAMORE, IL 60178-3110
Phone number: 815-895-3937
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