ADAM MICHAEL BANGE

DANVILLE, IL
NPI1902910789
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164.001926)
Enumeration Date2006-08-18
Last Update Date2007-07-08
Business Address
Mr. ADAM MICHAEL BANGE R.D.
1900 E MAIN ST NUTRITION AND FOOD SERVICE (120)
DANVILLE, IL 61832-5100
Phone number: 217-554-5135
Mailing Address
Mr. ADAM MICHAEL BANGE R.D.
641 E 1700TH RD
BROCTON, IL 61917-8055
Phone number: 217-385-2406
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