LEON GAUTHIER

HERRIN, IL
NPI1033145172
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085000934)
Enumeration Date2006-06-23
Last Update Date2007-07-09
Business Address
Mr. LEON GAUTHIER PA-C
220 N PARK AVE SUITE 2
HERRIN, IL 62948-3150
Phone number: 618-942-3344
Mailing Address
Mr. LEON GAUTHIER PA-C
220 N PARK AVE SUITE 2
HERRIN, IL 62948-3150
Phone number: 618-942-3344
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