CHARLOTTE FAY DOUGLAS

WATSEKA, IL
NPI1073941670
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.010801)
Enumeration Date2013-10-17
Last Update Date2013-10-17
Business Address
Mrs. CHARLOTTE FAY DOUGLAS NP
200 E WALNUT ST
WATSEKA, IL 60970-1356
Phone number: 815-432-3507
Mailing Address
Mrs. CHARLOTTE FAY DOUGLAS NP
200 E WALNUT ST
WATSEKA, IL 60970-1356
Phone number: 815-432-3507
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