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1861946626
GRANITE CITY EMERGENCY MEDICINE PROVIDERS LLC
CARBONDALE, IL
NPI
1861946626
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Entity Type
Organization
Authorized Contact
DANIEL DOOLITTLE
CEO
618-833-1691
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2016-08-10
Last Update Date
2017-01-24
Business Address
GRANITE CITY EMERGENCY MEDICINE PROVIDERS LLC
2250 N ILLINOIS AVE
CARBONDALE, IL 62901-5612
Phone number: 618-833-1691
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Mailing Address
GRANITE CITY EMERGENCY MEDICINE PROVIDERS LLC
2250 N ILLINOIS AVE
CARBONDALE, IL 62901-5612
Phone number: 618-833-1691
Copy
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