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1659417293
JAMES S PHARES
URBANA, IL
NPI
1659417293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085002326)
Enumeration Date
2007-01-30
Last Update Date
2014-05-08
Business Address
-- JAMES S PHARES PA
611 W PARK ST HVI
URBANA, IL 61801-2500
Phone number: 217-904-7000
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Mailing Address
-- JAMES S PHARES PA
611 W PARK ST BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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