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1598979916
ROMAN V. KLODNYCKY
SPRINGFIELD, IL
NPI
1598979916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046-006137)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
Dr. ROMAN V. KLODNYCKY O.D.
1201 S DIRKSEN PKWY
SPRINGFIELD, IL 62703-2122
Phone number: 217-789-0194
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Mailing Address
Dr. ROMAN V. KLODNYCKY O.D.
124 VONACHEN CT
EAST PEORIA, IL 61611-1561
Phone number: 309-699-2330
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