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Carolyn Fasnacht
NPI 1649712829 · on the registry since 2016 · sole proprietor
Practice
- Address
- 2775 Skyhawk Rd
Carbondale, IL 62902 - Phone
- (618) 967-8306
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Sex
- Female
- Record last updated
- 2016-11-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois