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1770569550
JOHN L POAG
BLOOMINGTON, IL
NPI
1770569550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036098050)
Enumeration Date
2005-12-22
Last Update Date
2012-04-24
Business Address
Dr. JOHN L POAG M.D.
1401 EASTLAND DR
BLOOMINGTON, IL 61701-3514
Phone number: 309-663-8311
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Mailing Address
Dr. JOHN L POAG M.D.
1401 EASTLAND DR
BLOOMINGTON, IL 61701-3514
Phone number: 309-663-8311
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