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1134362536
ALETHA ANN HOGAN
GRANITE CITY, IL
NPI
1134362536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 04306578)
Enumeration Date
2009-04-14
Last Update Date
2009-04-14
Business Address
MRS. ALETHA ANN HOGAN L.P.N.
1825 DELMAR AVE
GRANITE CITY, IL 62040-4508
Phone number: 618-876-0607
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Mailing Address
MRS. ALETHA ANN HOGAN L.P.N.
1825 DELMAR AVE
GRANITE CITY, IL 62040-4508
Phone number: 618-876-0607
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