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1912492448
MARY KATHERINE IMIG
MORTON, IL
NPI
1912492448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036154510)
Enumeration Date
2018-06-27
Last Update Date
2022-09-16
Business Address
Mrs. MARY KATHERINE IMIG DO
411 MAXINE DRIVE
MORTON, IL 61550
Phone number: 309-263-2411
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Mailing Address
Mrs. MARY KATHERINE IMIG DO
411 MAXINE DRIVE
MORTON, IL 61550
Phone number: 309-263-2411
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