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1386997187
REBECCA M SIDWELL
CHRISTOPHER, IL
NPI
1386997187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043087477)
Enumeration Date
2012-10-18
Last Update Date
2012-10-18
Business Address
-- REBECCA M SIDWELL LPN
4241 HIGHWAY 14 WEST
CHRISTOPHER, IL 62822
Phone number: 618-724-2436
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Mailing Address
-- REBECCA M SIDWELL LPN
103 COMMERCE ST
CARMI, IL 62821-2223
Phone number: 618-384-5686
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