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1114454733
MICHAEL BARAJAS
MARYVILLE, IL
NPI
1114454733
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.006179)
Enumeration Date
2017-05-12
Last Update Date
2017-05-12
Business Address
-- MICHAEL BARAJAS PA
6812 STATE ROUTE 162 SUITE 120
MARYVILLE, IL 62062-8553
Phone number: 618-288-0044
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Mailing Address
-- MICHAEL BARAJAS PA
6812 STATE ROUTE 162 SUITE 120
MARYVILLE, IL 62062-8553
Phone number: 618-288-0044
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