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1114031622
RUPA MAITRA
ALTON, IL
NPI
1114031622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL 036104861)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
-- RUPA MAITRA
4500 COLLEGE AVE
ALTON, IL 62002-5051
Phone number: 618-474-3800
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Mailing Address
-- RUPA MAITRA
64 YONDER HILL DR
CARBONDALE, IL 62903-8244
Phone number:
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