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MELISSA J GAUTHIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA C

Contact information

Practice address
1306 MAPLE ST, ELDORADO, IL 62930-1662
(618) 273-3361
(618) 297-9669
Mailing address
1306 MAPLE ST, ELDORADO, IL 62930-1662
(618) 273-3361
(618) 297-9669

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.000899
IL

Other

Enumeration date
04/19/2006
Last updated
04/22/2022
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