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Individual

COURTNEY DORAN I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
340 W LINCOLN ST, BELLEVILLE, IL 62220-1900
(618) 233-6044
(618) 233-3287
Mailing address
PO BOX 6002, URBANA, IL 61803-6002
(217) 383-6792
(217) 326-2856

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
85001678
IL

Other

Enumeration date
06/20/2006
Last updated
06/05/2012
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