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1174217905
NYA ANWANANE
CARBONDALE, IL
NPI
1174217905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 125082195)
Enumeration Date
2023-06-05
Last Update Date
2023-06-05
Business Address
NYA ANWANANE MD
300 W OAK ST STE 200
CARBONDALE, IL 62901-1400
Phone number: 618-536-6621
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Mailing Address
NYA ANWANANE MD
300 W OAK ST
CARBONDALE, IL 62901-1400
Phone number:
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