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Mrs. Courtney M Mcfarlin

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NPI Number Detailed Information

Provider Information:

Name: Mrs. Courtney M Mcfarlin
Gender: F
Provider License Number If Given: 85001714

NPI Information:

NPI: 1831183334
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 2/6/2009

Provider Business Mailing Address:

Address: 2129 W MAIN ST
Belleville, IL 62226
Phone Number: 6182572029
Fax Number: 6182355371

Provider Business Practice Location Address:

Address: 2129 W MAIN ST
Belleville, IL 62226
Phone Number: 6182572029
Fax Number: 6182355371

Provider Taxonomy:

Primary: 363A00000X
Secondary (if any):
State: IL

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