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1326229774
CENTRAL ILLINOIS FAMILY HEALTH CENTER
MATTOON, IL
NPI
1326229774
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Entity Type
Organization
Authorized Contact
KELLI LYNN BLAGG
Apn Owner
217-235-4227
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
Enumeration Date
2007-11-14
Last Update Date
2008-01-23
Business Address
CENTRAL ILLINOIS FAMILY HEALTH CENTER
10555 EAST COUNTY RD 800 NORTH
MATTOON, IL 61938
Phone number: 217-235-4227
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Mailing Address
CENTRAL ILLINOIS FAMILY HEALTH CENTER
10555 EAST COUNTY RD 800 NORTH
MATTOON, IL 61938
Phone number: 217-235-4227
Copy
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