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1306161427
CENTERCORE MEDICAL LLC
HERRIN, IL
NPI
1306161427
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Entity Type
Organization
Authorized Contact
CORENE MAVIGLIANO
Owner
618-713-6286
Organization Subpart ?
No
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2010-03-31
Last Update Date
2010-03-31
Business Address
CENTERCORE MEDICAL LLC
720 S PARK AVE
HERRIN, IL 62948-3816
Phone number: 618-713-6286
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Mailing Address
CENTERCORE MEDICAL LLC
704 GRACE LN
CARTERVILLE, IL 62918-1058
Phone number: 618-713-6286
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