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1295466894
MARY JACQUES HENRI LAMOUR
URBANA, IL
NPI
1295466894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 125081013)
Enumeration Date
2022-06-23
Last Update Date
2022-06-23
Business Address
Dr. MARY JACQUES HENRI LAMOUR MD
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 813-508-0542
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Mailing Address
Dr. MARY JACQUES HENRI LAMOUR MD
1215 LANCASTER DR
CHAMPAIGN, IL 61821-7001
Phone number: 813-508-0542
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