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521 N Borders Ave, Marissa, IL 62257-1117 | |
(618) 295-1600 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 521 N Borders Ave, Marissa, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1033264791 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (Illinois) | Primary |
Mailing Address | Practice Location Address |
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521 N Borders Ave, Marissa, IL 62257-1117 Ph: (618) 295-1600 | 521 N Borders Ave, Marissa, IL 62257-1117 Ph: (618) 295-1600 |