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1578565701
DENNIS D COSTERISAN
DECATUR, IL
NPI
1578565701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036071025)
Enumeration Date
2005-06-01
Last Update Date
2022-01-25
Business Address
Dr. DENNIS D COSTERISAN D.O.
320 E CENTRAL AVE
DECATUR, IL 62521-4665
Phone number: 217-877-9117
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Mailing Address
Dr. DENNIS D COSTERISAN D.O.
320 E CENTRAL AVE
DECATUR, IL 62521-4665
Phone number: 217-877-9117
Copy
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