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1750386215
NATHAN A CROUCH
CHAMPAIGN, IL
NPI
1750386215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046009653)
Enumeration Date
2005-06-20
Last Update Date
2022-01-06
Business Address
NATHAN A CROUCH O.D.
3101 FIELDS SOUTH DR
CHAMPAIGN, IL 61822-3743
Phone number: 217-366-1250
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Mailing Address
NATHAN A CROUCH O.D.
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3981
Phone number: 217-366-1250
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