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Organization

JOHN A. LOGAN COLLEGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PAM RUTH KARNS RDH, MS (DEPARTMENT CHAIR FOR ALLIED HEALTH)
(618) 985-2828
Entity
Organization

Contact information

Practice address
700 LOGAN COLLEGE DR, CARTERVILLE, IL 62918-2500
(618) 985-2828
(618) 985-4654
Mailing address
700 LOGAN COLLEGE DR, CARTERVILLE, IL 62918-2500
(618) 985-2828
(618) 985-4654

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.018274
IL

Other

Enumeration date
04/08/2011
Last updated
04/08/2011
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