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Organization
LITTLE EGYPT SURGICAL ASSISTING L.L.C
Active
Organization
LITTLE EGYPT SURGICAL ASSISTING L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENISE RENAE SONS RN,CNOR,CRNFA (CERT. REG. NURSE FIRST ASSISTANT)
(618) 237-8770
Entity
Organization
Contact information
Practice address
1207 N 1ST ST, BOX721, FAIRFIELD, IL 62837-2466
(618) 237-8770
(618) 847-4206
Mailing address
1207 N 1ST ST, BOX721, FAIRFIELD, IL 62837-2466
(618) 237-8770
(618) 847-4206
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0041-282852
IL
Other
Enumeration date
04/16/2007
Last updated
06/21/2018
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