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1437235660
EDMUNDO DAVID SANDOVAL
MARION, IL
NPI
1437235660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: IL 03607312)
Enumeration Date
2006-10-31
Last Update Date
2007-07-08
Business Address
-- EDMUNDO DAVID SANDOVAL MD
VA MEDICAL CENTER 2459 W MAIN ST
MARION, IL 62959
Phone number: 618-997-5311
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Mailing Address
-- EDMUNDO DAVID SANDOVAL MD
VA MEDICAL CENTER 2459 W MAIN STREET
MARION, IL 62959
Phone number: 618-997-5311
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