Individual
MR. FARRAH RENEE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 HOSPITAL DR, HARRISBURG, IL 62946-2454
(618) 253-7671
Mailing address
RR 1 BOX 140, ELIZABETHTOWN, IL 62931-9711
(618) 285-6657
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
—
IL
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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