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1891268355
ERIC MICHAEL WATSON
MARYVILLE, IL
NPI
1891268355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.007055)
Enumeration Date
2019-01-08
Last Update Date
2021-04-12
Business Address
MR. ERIC MICHAEL WATSON PA
6800 STATE ROUTE 162
MARYVILLE, IL 62062-8521
Phone number: 618-288-5711
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Mailing Address
MR. ERIC MICHAEL WATSON PA
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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