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1063991206
HOLLY ANN GATES
MARION, IL
NPI
1063991206
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Former Name
HOLLY RYDER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 277.001378)
Enumeration Date
2018-08-08
Last Update Date
2022-08-22
Business Address
Mrs. HOLLY ANN GATES NP-C
3111 WILLIAMSON COUNTY PKWY
MARION, IL 62959-5235
Phone number: 618-519-9200
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Mailing Address
Mrs. HOLLY ANN GATES NP-C
109 CALIFORNIA ST PO BOX 577
CARTERVILLE, IL 62918-0577
Phone number: 618-519-9200
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