MARTELL MCDANIEL

CENTRALIA, IL
NPI1902367105
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2019-03-29
Last Update Date2019-03-29
Business Address
MARTELL MCDANIEL
904 E MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801-3058
Phone number: 618-533-1391
Mailing Address
MARTELL MCDANIEL
904 E MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801-3058
Phone number: 618-533-1391
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