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Individual

MARSHALL ASHBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.R.N.A.

Contact information

Practice address
1000 HEALTH CENTER DR, MATTOON, IL 61938-9253
(217) 258-2440
Mailing address
PO BOX 372, MATTOON, IL 61938-0372

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209003331
IL

Other

Enumeration date
08/21/2006
Last updated
07/25/2024
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