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1013628171
JOHN ALAN LONGMIRE
CARBONDALE, IL
NPI
1013628171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
247000000X Technician, Health Information
Enumeration Date
2022-12-09
Last Update Date
2022-12-09
Business Address
JOHN ALAN LONGMIRE
1130 E WALNUT ST
CARBONDALE, IL 62901-5007
Phone number: 618-351-1031
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Mailing Address
JOHN ALAN LONGMIRE
2401 W MAIN ST ATTN CARBONDALE CBOC
MARION, IL 62959-1188
Phone number: 618-997-5311
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