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1568472041
JAMES J. WIEGERS
BELLEVILLE, IL
NPI
1568472041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 19A12820)
Enumeration Date
2006-08-08
Last Update Date
2007-07-08
Business Address
Dr. JAMES J. WIEGERS
4 S CHURCH ST SUITE 302
BELLEVILLE, IL 62220-2236
Phone number: 618-233-6311
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Mailing Address
Dr. JAMES J. WIEGERS
2 FIVE IRON CT
BELLEVILLE, IL 62220-3234
Phone number: 618-233-4606
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