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1245055011
NICHOLE LEE DENTON
MATTOON, IL
NPI
1245055011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 2090000000)
Enumeration Date
2024-11-18
Last Update Date
2024-11-18
Business Address
Mrs. NICHOLE LEE DENTON FNP
1019 CHARLESTON AVE E
MATTOON, IL 61938-6226
Phone number: 217-508-4940
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Mailing Address
Mrs. NICHOLE LEE DENTON FNP
1019 CHARLESTON AVE E
MATTOON, IL 61938-6226
Phone number: 217-508-4940
Copy
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