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1518920073
BRIAN HARRISON
BENTON, IL
NPI
1518920073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036111745)
Enumeration Date
2006-04-07
Last Update Date
2022-04-04
Business Address
BRIAN HARRISON MD
203 BAILEY LN STE 1
BENTON, IL 62812-2266
Phone number: 618-438-5670
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Mailing Address
BRIAN HARRISON MD
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-438-5670
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