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1073976700
TONYA SUE WHITE
MATTOON, IL
NPI
1073976700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209014037)
Enumeration Date
2016-03-31
Last Update Date
2024-10-09
Business Address
TONYA SUE WHITE NP-C
501 LAKE LAND BLVD
MATTOON, IL 61938-5283
Phone number: 217-258-3370
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Mailing Address
TONYA SUE WHITE NP-C
501 LAKE LAND BLVD
MATTOON, IL 61938-5283
Phone number: 121-761-9273
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