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1811973050
ANDREW COLON
BELLEVILLE, IL
NPI
1811973050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-002457)
Enumeration Date
2005-12-20
Last Update Date
2007-07-08
Business Address
Mr. ANDREW COLON PA-C
7210 W MAIN ST
BELLEVILLE, IL 62223-3038
Phone number: 618-398-8847
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Mailing Address
Mr. ANDREW COLON PA-C
813 WILDWOOD LN
O FALLON, IL 62269-3135
Phone number:
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