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1265947451
ANTONIANNETTE PATE
DECATUR, IL
NPI
1265947451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.016156)
Enumeration Date
2017-12-10
Last Update Date
2022-01-03
Business Address
ANTONIANNETTE PATE FNP-C
1750 E LAKE SHORE DR
DECATUR, IL 62521-3803
Phone number: 217-464-1440
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Mailing Address
ANTONIANNETTE PATE FNP-C
PO BOX 193
BOODY, IL 62514-0193
Phone number: 217-853-5661
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