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1295031102
MALI HIM
ROCKFORD, IL
NPI
1295031102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301112477)
Enumeration Date
2011-02-10
Last Update Date
2021-02-26
Business Address
MALI HIM
2404 CHARLES ST
ROCKFORD, IL 61108-1602
Phone number: 779-696-7910
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Mailing Address
MALI HIM
PO BOX 78866
MILWAUKEE, WI 53278-8866
Phone number:
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