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1316777147
KAMAWAK SEIFEMICHAEL ANOTA
ALTON, IL
NPI
1316777147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 125.085048)
Enumeration Date
2024-08-06
Last Update Date
2024-10-16
Business Address
Dr. KAMAWAK SEIFEMICHAEL ANOTA MD
4 MEMORIAL DR OFC BLDGB
ALTON, IL 62002-6705
Phone number: 618-468-1555
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Mailing Address
Dr. KAMAWAK SEIFEMICHAEL ANOTA MD
4 MEMORIAL DR STE 210
ALTON, IL 62002-6704
Phone number: 618-463-5905
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