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1417013095
CARBONDALE RURAL HEALTH CLINIC
CARBONDALE, IL
NPI
1417013095
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Entity Type
Organization
Authorized Contact
ALLAN N NORMAN
Chief Executive Officer
618-549-5361
Organization Subpart ?
Yes
Primary Taxonomy
261QR1300X Clinic/Center Rural Health
Enumeration Date
2006-12-28
Last Update Date
2008-04-20
Business Address
CARBONDALE RURAL HEALTH CLINIC
2601 W MAIN ST
CARBONDALE, IL 62901-1031
Phone number: 618-549-5361
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Mailing Address
CARBONDALE RURAL HEALTH CLINIC
2601 W MAIN ST
CARBONDALE, IL 62901-1031
Phone number: 618-549-5361
Copy
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