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1679786057
JAMES R BUTTS
GREAT LAKES, IL
NPI
1679786057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-05-08
Last Update Date
2013-10-31
Business Address
Mr. JAMES R BUTTS IDC
329 DEWY AVE
GREAT LAKES, IL 60088
Phone number: 847-688-3464
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Mailing Address
Mr. JAMES R BUTTS IDC
2915 PATTEN RD
HIGHLAND PARK, IL 60035-6410
Phone number: 757-535-7447
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