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1013496819
CATHERINE NICOLE DETERS
FLORA, IL
NPI
1013496819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209017940)
Enumeration Date
2018-08-13
Last Update Date
2018-08-13
Business Address
CATHERINE NICOLE DETERS
911 STACEY BURK DR
FLORA, IL 62839-3241
Phone number: 618-662-2131
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Mailing Address
CATHERINE NICOLE DETERS
12587 N 2000TH ST
TEUTOPOLIS, IL 62467-4019
Phone number: 217-663-2961
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