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1821143793
ALAN HAUSSERMANN
CHAMPAIGN, IL
NPI
1821143793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019-014321)
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
Dr. ALAN HAUSSERMANN DDS
919 W KIRBY AVE
CHAMPAIGN, IL 61821-5121
Phone number: 217-359-2500
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Mailing Address
Dr. ALAN HAUSSERMANN DDS
919 W KIRBY AVE
CHAMPAIGN, IL 61821-5121
Phone number: 217-359-2500
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