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MS. JULIE CHRISTIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
205 S MORSE ST, ROODHOUSE, IL 62082-1322
(217) 589-4383
(217) 589-4409
Mailing address
390 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052-2000
(618) 498-7518
(618) 498-3052

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004171
IL
363A00000X
Physician Assistant
2006007756
MO
363AS0400X
Surgical Physician Assistant
2006007756
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00454734
RR MCR
MO
Enumeration date
03/08/2007
Last updated
09/28/2016
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