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1245846989
SUSAN M CARL
NORMAL, IL
NPI
1245846989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209021769)
Enumeration Date
2020-09-18
Last Update Date
2020-09-18
Business Address
SUSAN M CARL APN
201 NORTH UNIVERSITY STREET
NORMAL, IL 61790-0001
Phone number: 309-438-8655
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Mailing Address
SUSAN M CARL APN
621 E VOREY ST
HEYWORTH, IL 61745-9619
Phone number: 309-838-8941
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