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Individual

MR. JUDAH STEVEN DONALDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
727 E COURT ST, PARIS, IL 61944-2460
(217) 465-4141
Mailing address
609 ANGIE LN, MARSHALL, IL 62441-5334
(217) 251-6916

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041430568
IL
163W00000X
Registered Nurse
28225076A
IN
363LF0000X
Family Nurse Practitioner
Primary
209.026796
IL

Other

Enumeration date
01/20/2023
Last updated
02/11/2023
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