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1598712218
MANUEL R ASCANO
PRINCETON, IL
NPI
1598712218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036073015)
Enumeration Date
2006-05-28
Last Update Date
2020-10-13
Business Address
MANUEL R ASCANO MD
535 PARK AVE E
PRINCETON, IL 61356-2537
Phone number: 815-875-4531
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Mailing Address
MANUEL R ASCANO MD
530 PARK AVE E
PRINCETON, IL 61356-3901
Phone number: 815-875-2811
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