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Individual

JAMIE KOLOVADIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
151 N MAIN ST, DECATUR, IL 62523-1206
(217) 362-6262
Mailing address
151 N MAIN ST, DECATUR, IL 62523-1206

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/03/2013
Last updated
09/03/2013
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Product
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  • Eligibility checks
  • EDI platform