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1184138422
STEPHANIE NICHOLE RAFE
HERRIN, IL
NPI
1184138422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043.124969)
Enumeration Date
2017-11-23
Last Update Date
2017-11-23
Business Address
Mrs. STEPHANIE NICHOLE RAFE LPN
201 S 17TH ST
HERRIN, IL 62948-2203
Phone number: 618-201-8943
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Mailing Address
Mrs. STEPHANIE NICHOLE RAFE LPN
201 S 17TH ST
HERRIN, IL 62948-2203
Phone number: 618-201-8943
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