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1376580225
MARY LUDOLPH
SPRINGFIELD, IL
NPI
1376580225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IL 036114091)
Enumeration Date
2006-06-01
Last Update Date
2015-08-04
Business Address
-- MARY LUDOLPH MD
3050 MONTVALE DR STE A
SPRINGFIELD, IL 62704-6924
Phone number: 217-726-8096
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Mailing Address
-- MARY LUDOLPH MD
2040 W ILES AVE SUITE C
SPRINGFIELD, IL 62704-4183
Phone number: 217-789-0668
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