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1700032067
JESSE PAUL BUEZA
HERRIN, IL
NPI
1700032067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085003280)
Enumeration Date
2008-08-18
Last Update Date
2024-10-10
Business Address
JESSE PAUL BUEZA PA-C
405 RUSHING DR
HERRIN, IL 62948-3730
Phone number: 618-993-3300
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Mailing Address
JESSE PAUL BUEZA PA-C
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200
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