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Individual

JOSEPH HARBOURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ACNPC-AG

Contact information

Practice address
2300 N EDWARD ST, DECATUR, IL 62526-4192
(217) 876-8121
Mailing address
1301 S EAST AVE, MANITO, IL 61546-8909
(309) 968-5311
(888) 714-0418

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.025562
IL

Other

Enumeration date
08/01/2022
Last updated
12/04/2025
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