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1154415008
KATHERINE BLOODWORTH
MOUNT VERNON, IL
NPI
1154415008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209005931)
Enumeration Date
2006-10-03
Last Update Date
2008-11-26
Business Address
KATHERINE BLOODWORTH MNP
1501 MCPHERSON AVE
MOUNT VERNON, IL 62864-2831
Phone number: 618-241-1748
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Mailing Address
KATHERINE BLOODWORTH MNP
1501 MCPHERSON AVE
MOUNT VERNON, IL 62864-2831
Phone number: 618-241-1748
Copy
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