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1275525024
DOUGLAS C DESPAIN
BELLEVILLE, IL
NPI
1275525024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036-082846)
Enumeration Date
2005-08-18
Last Update Date
2021-12-16
Business Address
DOUGLAS C DESPAIN MD
311 W LINCOLN ST STE 200
BELLEVILLE, IL 62220-1902
Phone number: 618-234-2566
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Mailing Address
DOUGLAS C DESPAIN MD
311 W LINCOLN ST SUITE 300
BELLEVILLE, IL 62220-1902
Phone number: 618-234-2566
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