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1386059624
CARLOS MIGUEL AVILA
SPRINGFIELD, IL
NPI
1386059624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 125.065885)
Enumeration Date
2014-06-25
Last Update Date
2014-06-25
Business Address
-- CARLOS MIGUEL AVILA M.D.
520 N 4TH ST
SPRINGFIELD, IL 62702-5238
Phone number: 217-757-8100
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Mailing Address
-- CARLOS MIGUEL AVILA M.D.
520 N 4TH ST
SPRINGFIELD, IL 62702-5238
Phone number: 217-757-8100
Copy
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