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1316298797
CHARLOTTE A. CLARK
MOUNT STERLING, IL
NPI
1316298797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043.070144)
Enumeration Date
2012-09-26
Last Update Date
2012-09-26
Business Address
-- CHARLOTTE A. CLARK
700 SE CROSS ST
MOUNT STERLING, IL 62353-1561
Phone number: 217-773-3325
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Mailing Address
-- CHARLOTTE A. CLARK
700 SE CROSS ST
MOUNT STERLING, IL 62353-1561
Phone number: 217-773-3325
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