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1700065398
JOHN A.CHANASUE, M.D.LTD
ALTON, IL
NPI
1700065398
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Entity Type
Organization
Authorized Contact
JOHN A CHANASUE
President
618-462-9623
Organization Subpart ?
No
Primary Taxonomy
261QM2500X Clinic/Center Medical Specialty
Enumeration Date
2007-10-31
Last Update Date
2007-10-31
Business Address
JOHN A.CHANASUE, M.D.LTD
307 HENRY ST STE 200
ALTON, IL 62002-6326
Phone number: 618-462-9623
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Mailing Address
JOHN A.CHANASUE, M.D.LTD
307 HENRY ST STE 200
ALTON, IL 62002-6326
Phone number: 618-462-9623
Copy
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