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1346752557
JENNIFER K FOGLE
DECATUR, IL
NPI
1346752557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209016606)
Enumeration Date
2017-10-27
Last Update Date
2023-09-05
Business Address
JENNIFER K FOGLE APN
4455 E US ROUTE 36
DECATUR, IL 62521-5003
Phone number: 217-876-5320
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Mailing Address
JENNIFER K FOGLE APN
PO BOX 3428
SPRINGFIELD, IL 62708-3428
Phone number: 217-876-5320
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