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1790848406
MARK R. HOUSKA
BLOOMINGTON, IL
NPI
1790848406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019020622)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
Dr. MARK R. HOUSKA D.M.D.
2433 MALONEY DRIVE
BLOOMINGTON, IL 61704
Phone number: 309-662-9042
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Mailing Address
Dr. MARK R. HOUSKA D.M.D.
2433 MALONEY DRIVE
BLOOMINGTON, IL 61704
Phone number: 309-662-9042
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