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1720072184
PRAYAG D SHAH
ROCKFORD, IL
NPI
1720072184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046009516)
Enumeration Date
2005-08-31
Last Update Date
2014-10-05
Business Address
-- PRAYAG D SHAH OD
575 S PERRYVILLE RD
ROCKFORD, IL 61108-2530
Phone number: 815-315-9358
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Mailing Address
-- PRAYAG D SHAH OD
575 S PERRYVILLE RD
ROCKFORD, IL 61108-2530
Phone number: 815-315-9358
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