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1235707746
ULYSSES FERNANDEZ-MIRO
O FALLON, IL
NPI
1235707746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: MO 2023045806)
Enumeration Date
2021-06-12
Last Update Date
2024-07-05
Business Address
Dr. ULYSSES FERNANDEZ-MIRO DO
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269-1284
Phone number: 618-256-9355
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Mailing Address
Dr. ULYSSES FERNANDEZ-MIRO DO
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269-1284
Phone number: 618-256-9355
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