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1104991017
REMA SANGHAVI
O FALLON, IL
NPI
1104991017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036115837)
Enumeration Date
2006-11-24
Last Update Date
2022-01-04
Business Address
REMA SANGHAVI D.O.
1512 N GREEN MOUNT RD STE 108
O FALLON, IL 62269
Phone number: 618-624-5510
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Mailing Address
REMA SANGHAVI D.O.
1512 N GREEN MOUNT RD STE 108
O FALLON, IL 62269-2083
Phone number: 618-624-5510
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