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1073722880
SANDRA KINNEY
CHAMPAIGN, IL
NPI
1073722880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 43080695)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
-- SANDRA KINNEY
202 W PARK AVE
CHAMPAIGN, IL 61820-3929
Phone number: 217-373-2430
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Mailing Address
-- SANDRA KINNEY
1813 STRATFORD DR
CHAMPAIGN, IL 61821-5706
Phone number:
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