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1952960874
ALISSA ANTHONY
LOVES PARK, IL
NPI
1952960874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019032144)
Enumeration Date
2019-06-13
Last Update Date
2019-06-13
Business Address
ALISSA ANTHONY
8100 FOREST HILLS RD
LOVES PARK, IL 61111-2709
Phone number: 815-633-9864
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Mailing Address
ALISSA ANTHONY
8100 FOREST HILLS RD
LOVES PARK, IL 61111-2709
Phone number: 815-633-9864
Copy
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