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Organization
JIL MEDICAL INC.
Active
Organization
JIL MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA AGOR (OWNER)
(704) 854-9257
Entity
Organization
Contact information
Practice address
11120 MONROE RD STE E, MATTHEWS, NC 28105-1324
(704) 841-4021
Mailing address
11120 MONROE RD STE E, MATTHEWS, NC 28105-1324
(704) 841-4021
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
00993
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7704273
—
NC
Enumeration date
11/01/2006
Last updated
09/16/2009
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