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1912910688
ABUNDANT LIFE MEDICAL CLINIC, LLC
TAYLORVILLE, IL
NPI
1912910688
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Entity Type
Organization
Authorized Contact
GERRY A KLINEFELTER
Office Manager
217-824-2524
Organization Subpart ?
No
Primary Taxonomy
173000000X Legal Medicine
Enumeration Date
2006-08-14
Last Update Date
2009-01-15
Business Address
ABUNDANT LIFE MEDICAL CLINIC, LLC
1141 N CHENEY ST
TAYLORVILLE, IL 62568-2741
Phone number: 217-824-2524
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Mailing Address
ABUNDANT LIFE MEDICAL CLINIC, LLC
1141 N CHENEY ST
TAYLORVILLE, IL 62568-2741
Phone number: 217-824-2524
Copy