JESSE PAUL BUEZA

HERRIN, IL
NPI1700032067
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085003280)
Enumeration Date2008-08-18
Last Update Date2021-09-14
Business Address
JESSE PAUL BUEZA PA-C
405 RUSHING DR
HERRIN, IL 62948-3730
Phone number: 618-993-3300
Mailing Address
JESSE PAUL BUEZA PA-C
1239 E MAIN ST
CARBONDALE, IL 62901-3175
Phone number: 618-457-5200
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