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1023222502
GORANTLA GOVINDAIAH, M.D., S.C.
EAST MOLINE, IL
NPI
1023222502
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Entity Type
Organization
Authorized Contact
GORANTLA GOVINDAIAH
Owner
309-796-1510
Organization Subpart ?
No
Primary Taxonomy
261QH0100X Clinic/Center, Health Services
Enumeration Date
2007-05-10
Last Update Date
2008-05-15
Business Address
GORANTLA GOVINDAIAH, M.D., S.C.
4366 KENNEDY DR SUITE B
EAST MOLINE, IL 61244-4288
Phone number: 309-796-1510
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Mailing Address
GORANTLA GOVINDAIAH, M.D., S.C.
4366 KENNEDY DR SUITE B
EAST MOLINE, IL 61244-4288
Phone number: 309-796-1510
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