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1184610255
RUTH D MAYFORTH
SPRINGFIELD, IL
NPI
1184610255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2086S0120X Surgery, Pediatric Surgery
(Licence: IL 036105117)
Enumeration Date
2005-09-23
Last Update Date
2010-07-20
Business Address
-- RUTH D MAYFORTH M.D.
301 N 8TH ST PAV4A
SPRINGFIELD, IL 62701-1041
Phone number: 217-545-0702
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Mailing Address
-- RUTH D MAYFORTH M.D.
PO BOX 19655
SPRINGFIELD, IL 62794-9655
Phone number: 217-545-0702
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