Individual
MR. GREGORY P CERVANTEZ I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1983 W LOSEY ST, GALESBURG, IL 61401-3243
(309) 342-2754
Mailing address
1983 W LOSEY ST, GALESBURG, IL 61401-3243
(309) 342-2754
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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