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1770582983
JEFFREY R. CANHAM
DECATUR, IL
NPI
1770582983
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: IL 036-060206)
Enumeration Date
2005-07-19
Last Update Date
2014-08-20
Business Address
Dr. JEFFREY R. CANHAM M.D.
302 W HAY ST SUITE 200
DECATUR, IL 62526-4167
Phone number: 217-877-8925
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Mailing Address
Dr. JEFFREY R. CANHAM M.D.
4431 COUNTRY MANOR CT
DECATUR, IL 62521-2520
Phone number: 217-422-8300
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