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Individual

JOHN T KUZMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
925 WEST ST, PERU, IL 61354-2757
(815) 223-3300
Mailing address
1280 CREVE COEUR ST, LA SALLE, IL 61301-1576
(815) 488-1858

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005327
IL

Other

Enumeration date
10/17/2014
Last updated
10/17/2014
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