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1043327141
MARK L SMITH
HERRIN, IL
NPI
1043327141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036067104)
Enumeration Date
2006-08-24
Last Update Date
2011-10-27
Business Address
-- MARK L SMITH MD
405 RUSHING DRIVE
HERRIN, IL 62948
Phone number: 618-943-3300
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Mailing Address
-- MARK L SMITH MD
PO BOX 1105
INDIANAPOLIS, IN 46206-1105
Phone number: 618-549-5361
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