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1003045360
MICKIE LYNNE DOLLINS
CHRISTOPHER, IL
NPI
1003045360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043063936)
Enumeration Date
2009-07-08
Last Update Date
2009-07-08
Business Address
-- MICKIE LYNNE DOLLINS LPN
4241 HWY 14
CHRISTOPHER, IL 62822
Phone number: 618-724-2436
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Mailing Address
-- MICKIE LYNNE DOLLINS LPN
PO BOX 155
CHRISTOPHER, IL 62822-0155
Phone number: 618-724-2436
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