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1710093018
STACEY HARMINSON
MATTOON, IL
NPI
1710093018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-001452)
Enumeration Date
2006-08-21
Last Update Date
2023-01-25
Business Address
STACEY HARMINSON PA-C
1005 HEALTH CENTER DR STE 104
MATTOON, IL 61938-4693
Phone number: 217-258-2178
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Mailing Address
STACEY HARMINSON PA-C
1005 HEALTH CENTER DR STE 201
MATTOON, IL 61938-4693
Phone number: 217-238-6055
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