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Individual

MARCIA A HARDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2886 N MONROE ST, DECATUR, IL 62526
(217) 875-1511
(217) 875-9556
Mailing address
2886 N MONROE ST, DECATUR, IL 62526
(217) 875-1511
(217) 875-9556

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IL

Other

Enumeration date
09/01/2006
Last updated
07/08/2007
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