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Individual

MISS ASHLEY ANN LEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1418 COLLEGE DR, MOUNT CARMEL, IL 62863-2638
(618) 262-8621
Mailing address
314 W 1ST ST APT A, MOUNT CARMEL, IL 62863-1605
(618) 302-0486

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.008330
IL

Other

Enumeration date
07/12/2021
Last updated
11/03/2021
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