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1700180015
YASAS RODRIGO
URBANA, IL
NPI
1700180015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 125.058954)
Enumeration Date
2010-12-29
Last Update Date
2010-12-29
Business Address
-- YASAS RODRIGO M.D.
602 W UNIVERSITY AVE 2ND FLOOR, SOUTH CLINIC BLDG.
URBANA, IL 61801-2530
Phone number: 217-383-3170
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Mailing Address
-- YASAS RODRIGO M.D.
611 W PARK ST
URBANA, IL 61801-2500
Phone number: 217-383-4645
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