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1275694937
MARY COVENTRY
DECATUR, IL
NPI
1275694937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 041-213160)
Enumeration Date
2006-12-13
Last Update Date
2012-10-16
Business Address
-- MARY COVENTRY N.P.
2981 N MAIN ST
DECATUR, IL 62526-3259
Phone number: 217-877-9775
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Mailing Address
-- MARY COVENTRY N.P.
2981 N MAIN ST
DECATUR, IL 62526-3259
Phone number: 217-877-9775
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