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1316223746
REBECCA C WALLON
URBANA, IL
NPI
1316223746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085004156)
Enumeration Date
2011-10-31
Last Update Date
2019-08-27
Business Address
REBECCA C WALLON PA
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-3364
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Mailing Address
REBECCA C WALLON PA
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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