CANDACE DONYUSHA CHARLES

O FALLON, IL
NPI1922284504
Former NameCANDACE DONYUSHA MOSES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085004583)
Enumeration Date2008-01-14
Last Update Date2018-08-02
Business Address
CANDACE DONYUSHA CHARLES PA
4965 STONE FALLS CTR STE 7
O FALLON, IL 62269-7803
Phone number: 618-726-2500
Mailing Address
CANDACE DONYUSHA CHARLES PA
3 PROFESSIONAL DR STE B
ALTON, IL 62002-5067
Phone number: 618-465-7177
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