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1588949861
DANIEL RALLS
CARBONDALE, IL
NPI
1588949861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085004204)
Enumeration Date
2011-10-18
Last Update Date
2021-09-28
Business Address
DANIEL RALLS PA
405 W JACKSON ST
CARBONDALE, IL 62901-1462
Phone number: 866-916-5259
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Mailing Address
DANIEL RALLS PA
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200
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