JAZZMYNE T MONTGOMERY

SPRINGFIELD, IL
NPI1811516065
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: IL  125075468)
Enumeration Date2020-04-08
Last Update Date2020-04-08
Business Address
JAZZMYNE T MONTGOMERY MD
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702-6700
Phone number: 217-545-3262
Mailing Address
JAZZMYNE T MONTGOMERY MD
PO BOX 19665
SPRINGFIELD, IL 62794-9665
Phone number: 217-545-3262
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