ProviderBusinessMailingAddressFaxNumber = '6184574542'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1043378565
THE CARBONDALE CLINIC
2601 W MAIN ST
CARBONDALE
IL
629011031
1932159100
DRESSEN
FREDERICK
J
PO BOX 1105
INDIANAPOLIS
IN
462061105
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