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1255681557
KALLIE M FRENCH
HERRIN, IL
NPI
1255681557
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Former Name
KALLIE M WALLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085)
Enumeration Date
2012-09-13
Last Update Date
2012-09-13
Business Address
-- KALLIE M FRENCH PAC
405 RUSHING DR
HERRIN, IL 62948-3730
Phone number: 618-993-3300
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Mailing Address
-- KALLIE M FRENCH PAC
PO BOX 1105
INDIANAPOLIS, IN 46206-1105
Phone number: 618-475-5200
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