MATTHEW OWEN SIUTA

CHAMPAIGN, IL
NPI1659648368
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051.295392)
Enumeration Date2011-11-23
Last Update Date2011-11-23
Business Address
Dr. MATTHEW OWEN SIUTA
3114 VILLAGE OFFICE PL
CHAMPAIGN, IL 61822-7680
Phone number: 217-378-4807
Mailing Address
Dr. MATTHEW OWEN SIUTA
3114 VILLAGE OFFICE PL
CHAMPAIGN, IL 61822-7680
Phone number:
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