MARLON MINOR

NORMAL, IL
NPI1770887887
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: IL  238.000282)
Enumeration Date2011-01-04
Last Update Date2011-09-21
Business Address
-- MARLON MINOR RSA, CSA
112 BOEYKENS PL STE 2A
NORMAL, IL 61761-2152
Phone number: 309-846-4716
Mailing Address
-- MARLON MINOR RSA, CSA
112 BOEYKENS PL STE 2A
NORMAL, IL 61761-2152
Phone number:
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