JASON WAYNE SORK

MARION, IL
NPI1215636220
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: IL  041330402)
Enumeration Date2023-02-28
Last Update Date2023-02-28
Business Address
JASON WAYNE SORK
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311
Mailing Address
JASON WAYNE SORK
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311
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