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1619013117
KELLY ALICE SANDERS
CHAMPAIGN, IL
NPI
1619013117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046009770)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
-- KELLY ALICE SANDERS OD
518 E GREEN ST ILLINI EYECARE EXPRESS
CHAMPAIGN, IL 61820
Phone number: 217-351-6110
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Mailing Address
-- KELLY ALICE SANDERS OD
3811 CRAIL ROAD
CHAMPAIGN, IL 61822
Phone number: 217-840-3044
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