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1770866105
RALPH LEE LEVANGE
KANKAKEE, IL
NPI
1770866105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IL 051-030040)
Enumeration Date
2011-09-21
Last Update Date
2011-09-21
Business Address
Mr. RALPH LEE LEVANGE r.ph.
1050 N KENNEDY DR
KANKAKEE, IL 60901-2033
Phone number: 815-932-9615
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Mailing Address
Mr. RALPH LEE LEVANGE r.ph.
23 S RAYMOND DR
KANKAKEE, IL 60901-8335
Phone number: 815-304-4293
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