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1629277801
SUPARNA KOHLI
DECATUR, IL
NPI
1629277801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036123811)
Enumeration Date
2007-07-17
Last Update Date
2011-03-25
Business Address
-- SUPARNA KOHLI MD
2300 N EDWARD ST INTERNAL MEDICINE
DECATUR, IL 62526-4163
Phone number: 217-876-4360
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Mailing Address
-- SUPARNA KOHLI MD
2300 N EDWARD ST INTERNAL MEDICINE
DECATUR, IL 62526-4163
Phone number: 217-876-4360
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