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1619042124
JACQUELYN HALL-DAVIS
BELLEVILLE, IL
NPI
1619042124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: IL 036080270)
Enumeration Date
2006-11-21
Last Update Date
2010-08-10
Business Address
Dr. JACQUELYN HALL-DAVIS M.D.
12 N 64TH ST
BELLEVILLE, IL 62223-3809
Phone number: 618-397-0900
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Mailing Address
Dr. JACQUELYN HALL-DAVIS M.D.
12 N 64 TH STREET SUITE 5
BELLEVILLE, IL 62223-3809
Phone number: 618-397-0900
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