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1770905952
CHARLESTON PRIMARY CARE INC.
CHARLESTON, IL
NPI
1770905952
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Entity Type
Organization
Authorized Contact
DANELLE JACKSON
Owner
217-276-6421
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2014-01-07
Last Update Date
2014-01-07
Business Address
CHARLESTON PRIMARY CARE INC.
506 W LINCOLN AVE SUITE 200
CHARLESTON, IL 61920-2453
Phone number: 217-348-8730
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Mailing Address
CHARLESTON PRIMARY CARE INC.
506 W LINCOLN AVE SUITE 200
CHARLESTON, IL 61920-2453
Phone number: 217-348-8730
Copy
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