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1639239866
JAMES LAWRENCE DISCIPIO
BERWYN, IL
NPI
1639239866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 19A19017)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
Dr. JAMES LAWRENCE DISCIPIO D.D.S., M.S.
6737 W. STANLEY AVENUE
BERWYN, IL 60402-3129
Phone number: 708-749-0133
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Mailing Address
Dr. JAMES LAWRENCE DISCIPIO D.D.S., M.S.
800 NEWBERRY
LAGRANGE PARK, IL 60526-1656
Phone number: 708-352-0826
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