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1740964998
LESLY Y BANOS
ROCKFORD, IL
NPI
1740964998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019.034334)
Enumeration Date
2023-06-09
Last Update Date
2023-06-09
Business Address
LESLY Y BANOS DMD
7310 WALTON ST
ROCKFORD, IL 61108-4614
Phone number: 815-395-5555
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Mailing Address
LESLY Y BANOS DMD
4421 OLMSTEAD DR
HOFFMAN ESTATES, IL 60192-1141
Phone number: 630-229-7528
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