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1184679953
SUBBIA G JAGANNATHAN
GALESBURG, IL
NPI
1184679953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IL 036046940)
Enumeration Date
2006-05-23
Last Update Date
2011-05-12
Business Address
-- SUBBIA G JAGANNATHAN M.D.
695 N KELLOGG ST
GALESBURG, IL 61401-2807
Phone number: 309-345-4219
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Mailing Address
-- SUBBIA G JAGANNATHAN M.D.
PO BOX 989
GALESBURG, IL 61402-0989
Phone number:
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