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1700866258
SARA KNEEDLER MODERT
MOUNT VERNON, IL
NPI
1700866258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036079217)
Enumeration Date
2006-01-19
Last Update Date
2020-11-04
Business Address
Dr. SARA KNEEDLER MODERT D.O.
1 DOCTORS PARK RD STE C
MOUNT VERNON, IL 62864
Phone number: 618-244-1234
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Mailing Address
Dr. SARA KNEEDLER MODERT D.O.
PO BOX 802
MOUNT VERNON, IL 62864-0017
Phone number: 618-244-1234
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