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1174992127
STEPHANIE GORDON
EFFINGHAM, IL
NPI
1174992127
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Former Name
STEPHANIE D MOLLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: IL 209.013249)
Enumeration Date
2015-09-21
Last Update Date
2025-04-15
Business Address
Ms. STEPHANIE GORDON CNM
912 N HENRIETTA ST
EFFINGHAM, IL 62401-1788
Phone number: 217-342-3337
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Mailing Address
Ms. STEPHANIE GORDON CNM
611 W. PARK ST FAPC
URBANA, IL 61801
Phone number:
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