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Individual

DR. BRENT VANDUYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
245 S BROADWAY ST, COAL CITY, IL 60416-1534
(815) 634-4311
(815) 634-4328
Mailing address
245 S BROADWAY ST, COAL CITY, IL 60416-1534
(815) 634-4311
(815) 634-4328

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.291887
IL

Other

Enumeration date
05/03/2012
Last updated
05/03/2012
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