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1215141916
MT VERNON FAMILY PRACTICE PC
MOUNT VERNON, IL
NPI
1215141916
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Entity Type
Organization
Authorized Contact
LINDEN R PEARSON
President
618-244-6770
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036063418)
Enumeration Date
2007-05-10
Last Update Date
2015-08-12
Business Address
MT VERNON FAMILY PRACTICE PC
4230 LINCOLNSHIRE DR STE G
MOUNT VERNON, IL 62864-2189
Phone number: 618-244-6770
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Mailing Address
MT VERNON FAMILY PRACTICE PC
4230 LINCOLNSHIRE DR STE G
MOUNT VERNON, IL 62864-2189
Phone number: 618-244-6770
Copy
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