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Individual

TAMRA BRISBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1932 S MAIN ST, EUREKA, IL 61530-1666
(309) 467-5000
(309) 467-5100
Mailing address
1932 S MAIN ST, EUREKA, IL 61530-1666
(309) 467-5000
(309) 467-5100

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085000647
IL

Other

Enumeration date
04/05/2006
Last updated
11/03/2016
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