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1396705638
DIANE L WATERS
NORMAL, IL
NPI
1396705638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209000718)
Enumeration Date
2006-03-23
Last Update Date
2023-03-07
Business Address
-- DIANE L WATERS APN
COLLEGE AND UNIVERSITY-2540
NORMAL, IL 61790-2540
Phone number: 309-438-2956
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Mailing Address
-- DIANE L WATERS APN
COLLEGE AND UNIVERSITY-2540
NORMAL, IL 61790-2540
Phone number: 309-438-2956
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