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1114517265
EMMY GAEL CRAIN
HERRIN, IL
NPI
1114517265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043129609)
Enumeration Date
2021-01-22
Last Update Date
2021-01-22
Business Address
EMMY GAEL CRAIN
920 N 11TH ST
HERRIN, IL 62948-2802
Phone number: 618-203-5882
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Mailing Address
EMMY GAEL CRAIN
920 N 11TH ST
HERRIN, IL 62948-2802
Phone number: 618-203-5882
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