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1851777064
COLLIN PETOSKEY
PEORIA, IL
NPI
1851777064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019.030409)
Enumeration Date
2015-08-11
Last Update Date
2015-08-11
Business Address
Dr. COLLIN PETOSKEY D.D.S.
7620 N UNIVERSITY ST STE 109
PEORIA, IL 61614-8300
Phone number: 309-693-0043
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Mailing Address
Dr. COLLIN PETOSKEY D.D.S.
602 W MOUNT HAWLEY TER
PEORIA, IL 61615-2141
Phone number: 309-693-0043
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