PATRICIA L CARPENTER

SPRINGFIELD, IL
NPI1174585962
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164000172)
Enumeration Date2006-04-05
Last Update Date2007-09-04
Business Address
-- PATRICIA L CARPENTER RDCDE
2528 FARRAGUT DR
SPRINGFIELD, IL 62704-1433
Phone number: 217-787-8870
Mailing Address
-- PATRICIA L CARPENTER RDCDE
313 N YATES ST. POBOX 653
ASHLAND, IL 62612
Phone number: 217-476-3647
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