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1720649858
DAVID HEATH TRAHAN
CARBONDALE, IL
NPI
1720649858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 125.075220)
Enumeration Date
2019-06-28
Last Update Date
2019-06-28
Business Address
-- DAVID HEATH TRAHAN MD
305 W JACKSON ST STE 200
CARBONDALE, IL 62901-1474
Phone number: 618-536-6621
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Mailing Address
-- DAVID HEATH TRAHAN MD
305 W JACKSON ST STE 200
CARBONDALE, IL 62901-1474
Phone number: 618-536-6621
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