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Justin C Reavley
Student in an Organized Health Care Education/Training Program in Edwardsville, Illinois
NPI 1295506491

Justin C Reavley is a Student in an Organized Health Care Education/Training Program based in Edwardsville, IL. Justin C Reavley practices in Edwardsville, IL. The NPI Number for Justin C Reavley is 1295506491 and holds a License No. (Illinois).

The current practice location address for Justin C Reavley is 6 Hairpin Dr, Edwardsville, IL and can be reached out via phone at 618-650-5688.

Location: 6 Hairpin Dr, Edwardsville, IL, 62026-1000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295506491
Provider Name
Justin C Reavley
Credential
Provider Entity Type
Individual
Gender
Male
Address
6 Hairpin Dr, Edwardsville, IL, 62026-1000
Phone Number
618-650-5688
Fax Number
Provider Enumeration Date
01/16/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6 Hairpin Dr
City
Edwardsville
State
Illinois
Zip
62026-1000
Phone Number
618-650-5688
Fax Number
person
Provider Business Mailing Address Details
Address
6 Hairpin Dr
City
Edwardsville
State
Illinois
Zip
62026-1000
Phone Number
618-650-5688
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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