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1932269552
GARY T. KOTELES
ROCKFORD, IL
NPI
1932269552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046007329)
Enumeration Date
2006-12-12
Last Update Date
2010-01-26
Business Address
GARY T. KOTELES OD
2300 N ROCKTON AVE
ROCKFORD, IL 61103-3619
Phone number: 815-971-2000
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Mailing Address
GARY T. KOTELES OD
2300 N ROCKTON AVE
ROCKFORD, IL 61103-3619
Phone number: 815-971-2000
Copy
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