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Individual

MRS. CARLA ANN BUZAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2100 MADISON AVE, GRANITE CITY, IL 62040-4701
(618) 798-3135
(618) 798-3505
Mailing address
35 OAKLAWN DR, GRANITE CITY, IL 62040-3808
(618) 876-0019

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070004264
IL

Other

Enumeration date
12/27/2012
Last updated
12/27/2012
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