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1780933770
PAUL JOHN BENNETT
PEORIA, IL
NPI
1780933770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: IL 070019448)
Enumeration Date
2012-09-05
Last Update Date
2012-09-05
Business Address
Dr. PAUL JOHN BENNETT
100 NE RANDOLPH AVE
PEORIA, IL 61606-1919
Phone number: 309-683-8170
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Mailing Address
Dr. PAUL JOHN BENNETT
100 NE RANDOLPH AVE
PEORIA, IL 61606-1919
Phone number: 309-683-8170
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