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1811066103
JACKSONVILLE INTERNAL MEDICINE
JACKSONVILLE, AL
NPI
1811066103
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Entity Type
Organization
Authorized Contact
REY GAVINO
Owner
256-435-5499
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: AL 25404)
Enumeration Date
2006-11-08
Last Update Date
2012-01-11
Business Address
JACKSONVILLE INTERNAL MEDICINE
2270 PELHAM RD S
JACKSONVILLE, AL 36265-9582
Phone number: 256-435-5499
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Mailing Address
JACKSONVILLE INTERNAL MEDICINE
PO BOX 550
JACKSONVILLE, AL 36265
Phone number: 256-435-5499
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