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1205905197
KHAI NGO
BELLEVILLE, IL
NPI
1205905197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IL 036079985)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
Mr. KHAI NGO MD
4600 MEMORIAL DRIVE SUITE 280
BELLEVILLE, IL 62276-5366
Phone number: 618-257-2800
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Mailing Address
Mr. KHAI NGO MD
4600 MEMORIAL DRIVE SUITE 280
BELLEVILLE, IL 62276
Phone number: 618-257-2800
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