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Organization

EXPRESSIONS OF FAITH, INCORPORATED

Active
Other names
The Old School
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEBORAH LYNN GATES-BURKLOW RN (PRESIDENT)
(618) 549-1870
Entity
Organization

Contact information

Practice address
200 N SPRINGER ST, CARBONDALE, IL 62901-1426
(618) 549-1870
(618) 549-1870
Mailing address
PO BOX 234, 200 N. SPRINGER ST., CARBONDALE, IL 62903-0234
(618) 549-1870
(618) 549-1870

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary

Other

Enumeration date
07/07/2011
Last updated
07/07/2011
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