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1154623585
MARGIE DOUGLAS
SPRINGFIELD, IL
NPI
1154623585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: IL 209008390)
Enumeration Date
2010-11-17
Last Update Date
2013-03-12
Business Address
-- MARGIE DOUGLAS
619 E MASON ST SUITE 4P57
SPRINGFIELD, IL 62701-1034
Phone number: 217-788-0706
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Mailing Address
-- MARGIE DOUGLAS
619 E MASON ST SUITE 4P57
SPRINGFIELD, IL 62701-1034
Phone number:
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