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1346839305
DANEBELL O EHIS
MATTESON, IL
NPI
1346839305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209022642)
Enumeration Date
2021-01-14
Last Update Date
2021-02-01
Business Address
DANEBELL O EHIS
6006 COLGATE LN
MATTESON, IL 60443-1995
Phone number: 708-323-7866
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Mailing Address
DANEBELL O EHIS
6006 COLGATE LN
MATTESON, IL 60443-1995
Phone number: 708-323-7866
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