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1881700714
GAYLIN LACK
MATTOON, IL
NPI
1881700714
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: IL 036-060129)
Enumeration Date
2006-08-22
Last Update Date
2007-07-09
Business Address
-- GAYLIN LACK M.D.
500 HEALTH CENTER DR SUITE 101
MATTOON, IL 61938-9258
Phone number: 217-238-3435
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Mailing Address
-- GAYLIN LACK M.D.
500 HEALTH CENTER DR SUITE 101
MATTOON, IL 61938-9258
Phone number: 217-238-3435
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