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Individual

CONNOR ANDREW EATON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11531 SUNDERLAND RD, MARION, IL 62959-8274
(618) 964-5139
Mailing address
10349 STATE HIGHWAY 149, WEST FRANKFORT, IL 62896-4088
(618) 889-3537

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043134098
IL

Other

Enumeration date
08/25/2023
Last updated
08/25/2023
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