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Individual

DR. BLAKE ANDREW DOSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
389 W WEAVER RD, SUITE 2, FORSYTH, IL 62535-9800
(217) 875-7151
Mailing address
389 W WEAVER RD, SUITE 2, FORSYTH, IL 62535-9800
(217) 875-7151

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38011008
IL

Other

Enumeration date
09/04/2007
Last updated
10/28/2009
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