Individual
MR. JOE OGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1307 W MAIN ST, MARION, IL 62959-1139
(618) 997-5336
(618) 993-2969
Mailing address
13652 BLOOMINGTON ST, MARION, IL 62959-8244
(618) 944-0219
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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