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1821234501
JAGANNATHAN SRINIVASARAGHAVAN
CARBONDALE, IL
NPI
1821234501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084F0202X Psychiatry & Neurology, Forensic Psychiatry
(Licence: IL 36-057049)
Enumeration Date
2008-12-30
Last Update Date
2008-12-30
Business Address
-- JAGANNATHAN SRINIVASARAGHAVAN M.D.
247 LAKE INDIAN HILLS DR
CARBONDALE, IL 62902-6184
Phone number: 618-351-9989
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Mailing Address
-- JAGANNATHAN SRINIVASARAGHAVAN M.D.
247 LAKE INDIAN HILLS DR
CARBONDALE, IL 62902-6184
Phone number: 618-351-9989
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