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1104427293
KATIE MICHELLE O'HALLORAN
MATTOON, IL
NPI
1104427293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209022108)
Enumeration Date
2020-11-04
Last Update Date
2023-03-17
Business Address
KATIE MICHELLE O'HALLORAN FNP-BC
1000 HEALTH CENTER DR
MATTOON, IL 61938-4644
Phone number: 217-238-4960
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Mailing Address
KATIE MICHELLE O'HALLORAN FNP-BC
1005 HEALTH CENTER DR STE 201
MATTOON, IL 61938-4653
Phone number:
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