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1174151112
CEP AMERICA - ILLINOIS SNF, LLP
ALTON, IL
NPI
1174151112
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Entity Type
Organization
Authorized Contact
DAVID BIRDSALL
Administrative VP Of Operations
510-350-2638
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2020-03-27
Last Update Date
2020-03-27
Business Address
CEP AMERICA - ILLINOIS SNF, LLP
3523 WICKENHAUSER AVE
ALTON, IL 62002-2118
Phone number: 618-465-8887
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Mailing Address
CEP AMERICA - ILLINOIS SNF, LLP
1601 CUMMINS DR STE D
MODESTO, CA 95358-6411
Phone number: 510-350-2638
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