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1932139292
HENRY MATTIS
BELLEVILLE, IL
NPI
1932139292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: IL 036061332)
Enumeration Date
2006-07-03
Last Update Date
2012-07-05
Business Address
-- HENRY MATTIS M.D.
340 W LINCOLN ST
BELLEVILLE, IL 62220-1900
Phone number: 618-233-6044
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Mailing Address
-- HENRY MATTIS M.D.
340 W LINCOLN ST
BELLEVILLE, IL 62220-1900
Phone number: 618-233-6044
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