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1619247335
PAUL ROBERT STANLEY
DECATUR, IL
NPI
1619247335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036039489)
Enumeration Date
2012-01-11
Last Update Date
2012-01-11
Business Address
Dr. PAUL ROBERT STANLEY MD
40 LAKE PT
DECATUR, IL 62521-5500
Phone number: 217-853-9004
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Mailing Address
Dr. PAUL ROBERT STANLEY MD
40 LAKE PT
DECATUR, IL 62521-5500
Phone number: 217-853-9004
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