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Organization

DOUGLAS VINCENT CARTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DOUGLAS V CARTER RN, RSA, CSA (OWNER)
(815) 740-1987
Entity
Organization

Contact information

Practice address
503 N RAYNOR AVE, JOLIET, IL 60435-6025
(815) 740-1987
(815) 740-1994
Mailing address
503 N RAYNOR AVE, JOLIET, IL 60435-6025
(815) 740-1987
(815) 740-1994

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
238000300
IL

Other

Enumeration date
12/29/2011
Last updated
12/29/2011
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