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1194348615
HAILEY M TRAUB
MATTOON, IL
NPI
1194348615
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Former Name
HAILEY M PORTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IL 085.008558)
Enumeration Date
2020-05-19
Last Update Date
2023-08-09
Business Address
HAILEY M TRAUB PA-C
1000 HEALTH CENTER DR
MATTOON, IL 61938-4644
Phone number: 217-238-4325
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Mailing Address
HAILEY M TRAUB PA-C
PO BOX 372
MATTOON, IL 61938-0372
Phone number: 217-868-2812
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