LISA JO DAVIS

FLORA, IL
NPI1093099863
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  041367410)
Enumeration Date2011-09-28
Last Update Date2011-09-28
Business Address
-- LISA JO DAVIS RN
201 E NORTH AVE
FLORA, IL 62839-2030
Phone number: 618-662-8386
Mailing Address
-- LISA JO DAVIS RN
PO BOX 155
CHRISTOPHER, IL 62822-0155
Phone number: 618-724-2436
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