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1609860782
GREGORY LEE MARTINDILL
CHAMPAIGN, IL
NPI
1609860782
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 85000525)
Enumeration Date
2005-09-06
Last Update Date
2022-01-05
Business Address
Mr. GREGORY LEE MARTINDILL PA
3101 FIELDS SOUTH DR
CHAMPAIGN, IL 61822-3743
Phone number: 217-366-6162
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Mailing Address
Mr. GREGORY LEE MARTINDILL PA
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3909
Phone number: 217-366-6162
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