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Individual

MS. HALLIE ANN FRANCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3 SAINT ELIZABETH BLVD STE 2800, O FALLON, IL 62269-1282
(618) 233-6044
(833) 973-4218
Mailing address
3 SAINT ELIZABETH BLVD STE 2800, O FALLON, IL 62269-1282
(618) 233-6044
(833) 973-4218

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007178
IL
363A00000X
Physician Assistant
2018008862
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
085007178
STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
01
2018008862
STATE OF MO LICENSE
MO
Enumeration date
03/14/2018
Last updated
12/21/2021
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