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1366951436
ROXANNA ELISE STEVENS
MOUNT VERNON, IL
NPI
1366951436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209016587)
Enumeration Date
2017-09-21
Last Update Date
2017-09-21
Business Address
ROXANNA ELISE STEVENS BC-FNP
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864-2402
Phone number: 618-899-1200
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Mailing Address
ROXANNA ELISE STEVENS BC-FNP
402 CARDINAL DR
MOUNT VERNON, IL 62864-2283
Phone number: 618-316-2295
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