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1891786943
WAYNE ALLEN MATHEWS
DECATUR, IL
NPI
1891786943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-000394)
Enumeration Date
2005-10-28
Last Update Date
2013-12-12
Business Address
-- WAYNE ALLEN MATHEWS PAC
250 W KENWOOD AVE
DECATUR, IL 62526-4371
Phone number: 217-872-3800
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Mailing Address
-- WAYNE ALLEN MATHEWS PAC
250 W KENWOOD AVE
DECATUR, IL 62526-4371
Phone number: 217-872-3800
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