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1174223267
AMANDA WATERHOUSE
MARION, IL
NPI
1174223267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: IL 041487949)
Enumeration Date
2023-03-07
Last Update Date
2023-03-07
Business Address
AMANDA WATERHOUSE
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311
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Mailing Address
AMANDA WATERHOUSE
825 LUXOR LANDING RD
GOREVILLE, IL 62939-3296
Phone number:
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