ANTONIANNETTE PATE

DECATUR, IL
NPI1265947451
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: IL  209.016156)
Enumeration Date2017-12-10
Last Update Date2022-01-03
Business Address
ANTONIANNETTE PATE FNP-C
1750 E LAKE SHORE DR
DECATUR, IL 62521-3803
Phone number: 217-464-1440
Mailing Address
ANTONIANNETTE PATE FNP-C
PO BOX 193
BOODY, IL 62514-0193
Phone number: 217-853-5661
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