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1215118401
MARLA JACQUOT
CARTHAGE, IL
NPI
1215118401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043.085332)
Enumeration Date
2007-11-16
Last Update Date
2007-11-16
Business Address
-- MARLA JACQUOT
607 BUCHANAN ST
CARTHAGE, IL 62321-1401
Phone number: 217-357-3176
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Mailing Address
-- MARLA JACQUOT
607 BUCHANAN ST
CARTHAGE, IL 62321-1401
Phone number: 217-357-3176
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