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1154642411
MARION PEDIATRIC CLINIC SC
MARION, IL
NPI
1154642411
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Entity Type
Organization
Authorized Contact
LUIS A LOPEZ
President
618-993-5274
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IL 036103701)
Enumeration Date
2010-06-21
Last Update Date
2010-06-21
Business Address
MARION PEDIATRIC CLINIC SC
3331 W DEYOUNG ST STE 207
MARION, IL 62959-5897
Phone number: 618-993-5274
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Mailing Address
MARION PEDIATRIC CLINIC SC
3331 W DEYOUNG ST STE 207
MARION, IL 62959-5897
Phone number: 618-993-5274
Copy
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