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1457722910
ETHAN WESHINSKEY
CARBONDALE, IL
NPI
1457722910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.005624)
Enumeration Date
2015-10-09
Last Update Date
2022-08-16
Business Address
Mr. ETHAN WESHINSKEY PA-C
400 S LEWIS LN
CARBONDALE, IL 62901-3547
Phone number: 618-519-9200
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Mailing Address
Mr. ETHAN WESHINSKEY PA-C
PO BOX 577 109 CALIFORNIA STREET
CARTERVILLE, IL 62918-0577
Phone number: 618-985-8221
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