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1861562530
MICHAEL GARRETT BALGEMANN
CHAMPAIGN, IL
NPI
1861562530
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046009189)
Enumeration Date
2006-11-09
Last Update Date
2010-05-24
Business Address
Dr. MICHAEL GARRETT BALGEMANN O.D.
2515 N PROSPECT AVE SUITE 100
CHAMPAIGN, IL 61822-1226
Phone number: 217-378-2934
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Mailing Address
Dr. MICHAEL GARRETT BALGEMANN O.D.
2515 N PROSPECT AVE SUITE 100
CHAMPAIGN, IL 61822-1226
Phone number: 217-378-2934
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