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1760477004
LYNN RAOUL DALE
MATTOON, IL
NPI
1760477004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: IL 036044263)
Enumeration Date
2005-09-13
Last Update Date
2013-10-03
Business Address
LYNN RAOUL DALE M.D.
1000 HEALTH CENTER DR
MATTOON, IL 61938-9253
Phone number: 217-258-2141
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Mailing Address
LYNN RAOUL DALE M.D.
1000 HEALTH CENTER DR
MATTOON, IL 61938-9253
Phone number: 217-258-2141
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