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1316392889
DIONTE WIGGINS
MATTOON, IL
NPI
1316392889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 036153297)
Enumeration Date
2016-05-03
Last Update Date
2022-05-05
Business Address
DIONTE WIGGINS
1000 HEALTH CENTER DR
MATTOON, IL 61938-4644
Phone number: 217-258-2551
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Mailing Address
DIONTE WIGGINS
1005 HEALTH CENTER DR STE 201
MATTOON, IL 61938-4653
Phone number: 217-258-2581
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