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1013436039
JOELI DIEMER
CARBONDALE, IL
NPI
1013436039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-007467)
Enumeration Date
2017-09-11
Last Update Date
2020-12-23
Business Address
JOELI DIEMER PAC
300 W OAK ST
CARBONDALE, IL 62901-1400
Phone number: 618-536-6621
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Mailing Address
JOELI DIEMER PAC
PO BOX 19639
SPRINGFIELD, IL 62794-9639
Phone number: 217-545-3787
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