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1386890234
JUAN ALFREDO CARRILLO
MOUNT VERNON, IL
NPI
1386890234
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: IL 036049441)
Enumeration Date
2008-08-12
Last Update Date
2008-08-12
Business Address
Dr. JUAN ALFREDO CARRILLO md
302 BROADWAY ST
MOUNT VERNON, IL 62864-5116
Phone number: 618-242-4750
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Mailing Address
Dr. JUAN ALFREDO CARRILLO md
302 BROADWAY ST
MOUNT VERNON, IL 62864-5116
Phone number: 618-242-4750
Copy
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