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1740311349
MAOXIIM TELLEZ
PETERSBURG, IL
NPI
1740311349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036117662)
Enumeration Date
2007-03-08
Last Update Date
2022-11-03
Business Address
MAOXIIM TELLEZ M.D.
1 CENTRE DR
PETERSBURG, IL 62675-9467
Phone number: 217-632-7761
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Mailing Address
MAOXIIM TELLEZ M.D.
PO BOX 3428
SPRINGFIELD, IL 62708-3428
Phone number: 800-577-5368
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