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1104362193
RACHEL D PARKS
SPRINGFIELD, IL
NPI
1104362193
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Former Name
RACHEL D WALDEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: IL 209015232)
Enumeration Date
2017-01-13
Last Update Date
2020-05-21
Business Address
RACHEL D PARKS NP
775 ENGINEERING AVE
SPRINGFIELD, IL 62703-5909
Phone number: 217-528-7541
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Mailing Address
RACHEL D PARKS NP
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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