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1710901020
GARY R. STAMM
PEORIA, IL
NPI
1710901020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019-015164)
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
Dr. GARY R. STAMM D.D.S.
4507 N STERLING AVE SUITE 306
PEORIA, IL 61615-3824
Phone number: 309-685-0444
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Mailing Address
Dr. GARY R. STAMM D.D.S.
4507 N. STERLING AVENUE SUITE 306
PEORIA, IL 61615-3861
Phone number: 309-685-0444
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