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1295343648
KATHERINE G BROCKHOUSE
SPRINGFIELD, IL
NPI
1295343648
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Former Name
KATHERINE G WELCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209-021455)
Enumeration Date
2020-07-21
Last Update Date
2020-08-13
Business Address
KATHERINE G BROCKHOUSE FNP-BC
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702-6700
Phone number: 217-545-3787
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Mailing Address
KATHERINE G BROCKHOUSE FNP-BC
PO BOX 19639
SPRINGFIELD, IL 62794-9639
Phone number: 217-545-7578
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