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1912634916
JOSEPH HARBOURN
DECATUR, IL
NPI
1912634916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: IL 209.025562)
Enumeration Date
2022-08-01
Last Update Date
2022-08-01
Business Address
JOSEPH HARBOURN
2300 N EDWARD ST
DECATUR, IL 62526-4192
Phone number: 217-876-8121
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Mailing Address
JOSEPH HARBOURN
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number: 217-876-8121
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