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1326589680
AMBER DAWN WILLIS
MOUNT VERNON, IL
NPI
1326589680
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: IL 209.015277)
Enumeration Date
2017-03-19
Last Update Date
2017-03-19
Business Address
AMBER DAWN WILLIS APN-BC
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864-2402
Phone number: 618-899-4600
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Mailing Address
AMBER DAWN WILLIS APN-BC
13240 E SMITH RD
MOUNT VERNON, IL 62864-8857
Phone number: 618-315-9925
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