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Organization

ADAMS COUNTY R S V P

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CARLA J GOSNEY (DIRECTOR)
(217) 641-4960
Entity
Organization

Contact information

Practice address
1301 S 48TH ST, QUINCY, IL 62305-8736
(217) 641-4960
(217) 641-4900
Mailing address
1301 S 48TH ST, QUINCY, IL 62305-8736
(217) 641-4960
(217) 641-4900

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary

Other

Enumeration date
12/13/2007
Last updated
12/13/2007
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