MARY ANN SOUTHERLAN

LINCOLN, IL
NPI1235732579
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IL  020-004826)
Enumeration Date2020-11-19
Last Update Date2020-11-19
Business Address
Mrs. MARY ANN SOUTHERLAN RDH, PHDH
109 3RD ST
LINCOLN, IL 62656-2604
Phone number: 217-735-2317
Mailing Address
Mrs. MARY ANN SOUTHERLAN RDH, PHDH
109 3RD ST
LINCOLN, IL 62656-2604
Phone number: 217-735-2317
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