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1740912492
NUPUR MISHRA
CARBONDALE, IL
NPI
1740912492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 125080015)
Enumeration Date
2022-06-29
Last Update Date
2022-06-29
Business Address
NUPUR MISHRA
300 W OAK ST
CARBONDALE, IL 62901-1400
Phone number: 618-536-0221
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Mailing Address
NUPUR MISHRA
300 W OAK ST STE 200
CARBONDALE, IL 62901-1400
Phone number:
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