Individual
MS. JULIE MARIE PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 MEMORIAL DR, PHYSCIANS PLAZA EAST STE 110, DECATUR, IL 62526-6303
(217) 422-2442
(217) 424-9431
Mailing address
3798 E. FULTON AVE, DECATUR, IL 62521
(217) 864-2700
(217) 864-3930
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
385000284
IL
Other
Enumeration date
11/08/2007
Last updated
07/02/2010
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