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1700090271
SUJATHA GOVINDAIAH, M.D., S.C.
EAST MOLINE, IL
NPI
1700090271
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Entity Type
Organization
Authorized Contact
SUJATHA GOVINDAIAH
Owner
309-796-1512
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2007-05-10
Last Update Date
2008-02-28
Business Address
SUJATHA GOVINDAIAH, M.D., S.C.
4366 KENNEDY DR SUITE A
EAST MOLINE, IL 61244-4288
Phone number: 309-796-1512
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Mailing Address
SUJATHA GOVINDAIAH, M.D., S.C.
4366 KENNEDY DR SUITE A
EAST MOLINE, IL 61244-4288
Phone number: 309-796-1512
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