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1336830561
VICTORIA DARE
HERRIN, IL
NPI
1336830561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209026453)
Enumeration Date
2023-05-18
Last Update Date
2023-07-06
Business Address
VICTORIA DARE NP
405 RUSHING DR
HERRIN, IL 62948-3730
Phone number: 618-993-3300
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Mailing Address
VICTORIA DARE NP
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200
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