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Individual

DR. ELLEN E. O'CONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-4516
Mailing address
32 COUNTRY CLUB DR, DANVILLE, IL 61832-1205

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5031024
NY

Other

Enumeration date
09/16/2006
Last updated
07/08/2007
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