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Individual

MR. WARD RICHARD DUNSETH II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1400 W WALNUT, JACKSONVILLE, IL 62650
(217) 245-9541
(217) 479-5660
Mailing address
2374 MOUND RD., JACKSONVILLE, IL 62650
(217) 243-2880

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
IL

Other

Enumeration date
10/02/2006
Last updated
07/08/2007
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