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Individual
DR. HARRY O CHANNON SR.
Active
Individual
DR. HARRY O CHANNON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
021000639
IL
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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