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1255610150
RIVERSIDE FAMILY MEDICINE PC
CAPE GIRARDEAU, MO
NPI
1255610150
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Entity Type
Organization
Authorized Contact
JAMES E PALEN
Physician
573-335-0166
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2011-08-09
Last Update Date
2011-08-09
Business Address
RIVERSIDE FAMILY MEDICINE PC
3129 BLATTNER DR
CAPE GIRARDEAU, MO 63703-6364
Phone number: 573-335-0166
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Mailing Address
RIVERSIDE FAMILY MEDICINE PC
3129 BLATTNER DR
CAPE GIRARDEAU, MO 63703-6364
Phone number: 573-335-0166
Copy
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