LYNN A SUPPAN

CARBONDALE, IL
NPI1780916569
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209008049)
Enumeration Date2010-02-04
Last Update Date2022-05-06
Business Address
LYNN A SUPPAN CRNA
405 W JACKSON ST
CARBONDALE, IL 62901-1462
Phone number: 618-549-0721
Mailing Address
LYNN A SUPPAN CRNA
405 W JACKSON ST
CARBONDALE, IL 62901-1462
Phone number: 618-549-0721
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