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1750471595
TARAH ELISSA CRANICK
CARBONDALE, IL
NPI
1750471595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085003209)
Enumeration Date
2006-10-13
Last Update Date
2021-12-02
Business Address
TARAH ELISSA CRANICK PA
405 W JACKSON ST
CARBONDALE, IL 62901-1462
Phone number: 618-549-0721
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Mailing Address
TARAH ELISSA CRANICK PA
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200
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