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Individual

MS. KAREN J. HARBAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3003 CIVIC CIRCLE BLVD, MARION, IL 62959-5259
(618) 993-1112
(618) 993-1113
Mailing address
3003 CIVIC CIRCLE BLVD, MARION, IL 62959-5259
(618) 993-1112
(618) 993-1113

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3703A
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000361139
BCBS
05
74004615
KY
01
P00278280
RAILROAD MEDICARE
Enumeration date
10/03/2006
Last updated
10/23/2012
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