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1023088903
KATHLEEN K FOURNIER
BELLEVILLE, IL
NPI
1023088903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036114966)
Enumeration Date
2006-01-24
Last Update Date
2007-07-08
Business Address
-- KATHLEEN K FOURNIER MD
4600 MEMORIAL DR SUITE 100
BELLEVILLE, IL 62226-5366
Phone number: 618-222-9999
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Mailing Address
-- KATHLEEN K FOURNIER MD
PO BOX 24007
BELLEVILLE, IL 62223-9007
Phone number: 618-222-9999
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