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1679818835
SCOTT PAUL FOGEL
BOURBONNAIS, IL
NPI
1679818835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019026391)
Enumeration Date
2012-11-29
Last Update Date
2012-11-29
Business Address
Dr. SCOTT PAUL FOGEL DDS
1521 N CONVENT ST STE 600
BOURBONNAIS, IL 60914-1486
Phone number: 815-933-5173
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Mailing Address
Dr. SCOTT PAUL FOGEL DDS
1521 N CONVENT ST STE 600
BOURBONNAIS, IL 60914-1486
Phone number: 815-933-5173
Copy
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