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1275612681
JAMES ANTHONY CARUSO
PEORIA, IL
NPI
1275612681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 102678)
Enumeration Date
2006-11-04
Last Update Date
2013-10-11
Business Address
Mr. JAMES ANTHONY CARUSO PA-C
9601 NORTH LINDBERGH DR # 230
PEORIA, IL 61615
Phone number: 309-346-2045
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Mailing Address
Mr. JAMES ANTHONY CARUSO PA-C
300 HANNA DRIVE TRAILER 2
PEKIN, IL 61554
Phone number: 309-346-2045
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