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1679766638
LISA MARIE BAINES
SPRINGFIELD, IL
NPI
1679766638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019.027407)
Enumeration Date
2007-08-23
Last Update Date
2013-11-01
Business Address
Dr. LISA MARIE BAINES DMD
1905 MONTANA DR SUITE 30
SPRINGFIELD, IL 62704-7008
Phone number: 217-698-9300
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Mailing Address
Dr. LISA MARIE BAINES DMD
1905 MONTANA DR SUITE 30
SPRINGFIELD, IL 62704-7008
Phone number: 217-698-9300
Copy
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