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1770887887
MARLON MINOR
NORMAL, IL
NPI
1770887887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: IL 238.000282)
Enumeration Date
2011-01-04
Last Update Date
2011-09-21
Business Address
-- MARLON MINOR RSA, CSA
112 BOEYKENS PL STE 2A
NORMAL, IL 61761-2152
Phone number: 309-846-4716
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Mailing Address
-- MARLON MINOR RSA, CSA
112 BOEYKENS PL STE 2A
NORMAL, IL 61761-2152
Phone number:
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