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1457373706
MICHAEL T ABACA
DECATUR, IL
NPI
1457373706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IL 209006213)
Enumeration Date
2006-07-24
Last Update Date
2021-12-29
Business Address
MR. MICHAEL T ABACA CRNA
1800 E LAKE SHORE DR
DECATUR, IL 62521-3810
Phone number: 217-464-2966
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Mailing Address
MR. MICHAEL T ABACA CRNA
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6941
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