JOHN WALL

OLNEY, IL
NPI1316044324
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  041239679)
Enumeration Date2006-09-20
Last Update Date2008-02-01
Business Address
-- JOHN WALL
800 E LOCUST ST
OLNEY, IL 62450-2553
Phone number: 618-395-7340
Mailing Address
-- JOHN WALL
800 E LOCUST ST
OLNEY, IL 62450-2553
Phone number: 618-395-7340
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