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1720205115
ROBERT L LARISON
SPRINGFIELD, IL
NPI
1720205115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
ROBERT L LARISON D.D.S.
1214 S 4TH ST
SPRINGFIELD, IL 62703-2229
Phone number: 217-528-1502
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Mailing Address
ROBERT L LARISON D.D.S.
1214 S 4TH ST
SPRINGFIELD, IL 62703-2229
Phone number: 217-528-1502
Copy
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