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1992280598
CORRIE LYNN FARRIS
CARBONDALE, IL
NPI
1992280598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085006937)
Enumeration Date
2018-09-28
Last Update Date
2022-09-27
Business Address
CORRIE LYNN FARRIS PA-C
409 W OAK ST
CARBONDALE, IL 62901-1464
Phone number: 618-529-4455
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Mailing Address
CORRIE LYNN FARRIS PA-C
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200
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