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1417943937
KIM J HODGSON
SPRINGFIELD, IL
NPI
1417943937
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: IL 036072794)
Enumeration Date
2005-09-20
Last Update Date
2014-10-16
Business Address
-- KIM J HODGSON M.D.
340 W MILLER ST
SPRINGFIELD, IL 62702-4928
Phone number: 217-545-5555
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Mailing Address
-- KIM J HODGSON M.D.
PO BOX 19638
SPRINGFIELD, IL 62794-9638
Phone number: 217-545-5555
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