DELLENIA DALE HAZEL

ELDORADO, IL
NPI1104927276
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043066017)
Enumeration Date2006-09-25
Last Update Date2007-07-08
Business Address
Mrs. DELLENIA DALE HAZEL LPN
1306 MAPLE ST DOCTORS CLINIC
ELDORADO, IL 62930
Phone number: 618-273-2360
Mailing Address
Mrs. DELLENIA DALE HAZEL LPN
PO BOX 155 REA CLINIC
CHRISTOPHER, IL 62822
Phone number: 618-724-2401
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