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1093060501
DANA M. WENTZEL
CHRISTOPHER, IL
NPI
1093060501
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Former Name
DANA M. MOULTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043085910)
Enumeration Date
2012-07-20
Last Update Date
2012-07-20
Business Address
Mrs. DANA M. WENTZEL LPN
4241 HIGHWAY 14 WEST
CHRISTOPHER, IL 62822
Phone number: 618-724-2436
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Mailing Address
Mrs. DANA M. WENTZEL LPN
PO BOX 155
CHRISTOPHER, IL 62822-0155
Phone number: 618-724-2436
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