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1780160556
CLINTON BISSELL BUTLER
GREAT LAKES, IL
NPI
1780160556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: SC 9171)
Enumeration Date
2018-07-16
Last Update Date
2018-07-16
Business Address
Dr. CLINTON BISSELL BUTLER DMD
2410 SAMPSON ST
GREAT LAKES, IL 60088-2942
Phone number: 847-688-3331
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Mailing Address
Dr. CLINTON BISSELL BUTLER DMD
322 68TH ST
KENOSHA, WI 53143-5132
Phone number: 803-767-0032
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