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1568586386
SUSAN B BORDENAVE-BISHOP
PEORIA, IL
NPI
1568586386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019020773)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
Dr. SUSAN B BORDENAVE-BISHOP DMD
2116 N. SHERIDAN
PEORIA, IL 61604
Phone number: 309-679-6140
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Mailing Address
Dr. SUSAN B BORDENAVE-BISHOP DMD
7314 N. EDGEWILD DR.
PEORIA, IL 61614
Phone number: 309-692-1796
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