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1770590523
LAURANCE MONCKTON
ALTON, IL
NPI
1770590523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: IL 036074993)
Enumeration Date
2006-08-02
Last Update Date
2012-11-13
Business Address
-- LAURANCE MONCKTON
4 MEMORIAL DR STE 230
ALTON, IL 62002-6751
Phone number: 618-462-3191
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Mailing Address
-- LAURANCE MONCKTON
670 MASON RIDGE CENTER DR SUITE 300
SAINT LOUIS, MO 63141-8573
Phone number: 618-462-3191
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