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1063461887
THE LITTLE CLINIC ILLINOIS
MOUNT VERNON, IL
NPI
1063461887
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Entity Type
Organization
Authorized Contact
MARY CAY DECLUE
Owner
618-246-9969
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2006-05-09
Last Update Date
2020-08-22
Business Address
THE LITTLE CLINIC ILLINOIS
415 S 42ND ST
MOUNT VERNON, IL 62864-6266
Phone number: 618-246-9969
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Mailing Address
THE LITTLE CLINIC ILLINOIS
415 S 42ND ST
MOUNT VERNON, IL 62864-6266
Phone number: 618-246-9969
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