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1386750404
ROBERT W. DEATON
CARBONDALE, IL
NPI
1386750404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209004993)
Enumeration Date
2006-08-22
Last Update Date
2024-12-17
Business Address
Mr. ROBERT W. DEATON NP
409 W OAK ST
CARBONDALE, IL 62901-1464
Phone number: 618-529-4455
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Mailing Address
Mr. ROBERT W. DEATON NP
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200
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