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Individual

DR. EVAN W HORNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4700 BROADWAY ST, QUINCY, IL 62305-9112
(217) 222-2529
(217) 222-2895
Mailing address
4700 BROADWAY ST, QUINCY, IL 62305-9112
(217) 222-2529
(217) 222-2895

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
IL

Other

Enumeration date
04/20/2007
Last updated
07/08/2007
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