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1609922863
JERRY JOSEPH LEBEDA
BOURBONNAIS, IL
NPI
1609922863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019-022170)
Enumeration Date
2007-01-28
Last Update Date
2007-07-08
Business Address
Dr. JERRY JOSEPH LEBEDA DDS
19 HERITAGE DR SUITE 207
BOURBONNAIS, IL 60914-1369
Phone number: 815-933-3479
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Mailing Address
Dr. JERRY JOSEPH LEBEDA DDS
19 HERITAGE DR SUITE 207
BOURBONNAIS, IL 60914-1369
Phone number: 815-933-3479
Copy
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