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1679548713
JEFFREY R BARRA
MOUNT VERNON, IL
NPI
1679548713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036107295)
Enumeration Date
2006-02-22
Last Update Date
2015-05-13
Business Address
Dr. JEFFREY R BARRA M.D.
5100 LAKE TER NE SUITE WC
MOUNT VERNON, IL 62864-9665
Phone number: 618-899-5001
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Mailing Address
Dr. JEFFREY R BARRA M.D.
5100 LAKE TER NE SUITE WC
MOUNT VERNON, IL 62864-9665
Phone number: 618-899-5001
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