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1659004430
MICHAEL JAMES
CARBONDALE, IL
NPI
1659004430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209025349)
Enumeration Date
2022-07-08
Last Update Date
2023-11-21
Business Address
MICHAEL JAMES FNP-BC
2601 W MAIN ST
CARBONDALE, IL 62901-1031
Phone number: 618-549-5361
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Mailing Address
MICHAEL JAMES FNP-BC
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200
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