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1568101228
SCOT STANULIS
SPRINGFIELD, IL
NPI
1568101228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: IL 125.079939)
Enumeration Date
2022-06-01
Last Update Date
2022-06-01
Business Address
Dr. SCOT STANULIS
701 N 1ST ST # D346
SPRINGFIELD, IL 62702-3757
Phone number: 217-545-8856
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Mailing Address
Dr. SCOT STANULIS
PO BOX 19638
SPRINGFIELD, IL 62794-9638
Phone number: 217-545-8856
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