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1801051552
DAVID WESLEY BACHELLER
CHAMPAIGN, IL
NPI
1801051552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019-024525)
Enumeration Date
2008-07-22
Last Update Date
2008-07-22
Business Address
Dr. DAVID WESLEY BACHELLER
305 W CLARK ST
CHAMPAIGN, IL 61820-4638
Phone number: 217-352-5031
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Mailing Address
Dr. DAVID WESLEY BACHELLER
305 W CLARK ST
CHAMPAIGN, IL 61820-4638
Phone number: 217-352-5031
Copy
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