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1912002825
ROY ALAN BISHOP
ST CHARLES, IL
NPI
1912002825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046006651)
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
-- ROY ALAN BISHOP OD
150 SMITH RD
ST CHARLES, IL 60174
Phone number: 630-513-9566
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Mailing Address
-- ROY ALAN BISHOP OD
1965 COOL CREEK DR
ST CHARLES, IL 60174
Phone number: 630-584-5887
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