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1003066697
BEVERLY DEANN BAXTER
CHRISTOPHER, IL
NPI
1003066697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043083281)
Enumeration Date
2008-09-19
Last Update Date
2008-09-19
Business Address
-- BEVERLY DEANN BAXTER LPN
4241 HIGHWAY 14 WEST
CHRISTOPHER, IL 62822
Phone number: 618-724-2436
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Mailing Address
-- BEVERLY DEANN BAXTER LPN
PO BOX 155
CHRISTOPHER, IL 62822-0155
Phone number: 618-724-2436
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