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1396834438
PHYLLIS GABBART
BELLEVILLE, IL
NPI
1396834438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 04112574)
Enumeration Date
2006-10-12
Last Update Date
2016-06-24
Business Address
Mrs. PHYLLIS GABBART APRN
305 S ILLINOIS ST
BELLEVILLE, IL 62220-2133
Phone number: 618-235-1703
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Mailing Address
Mrs. PHYLLIS GABBART APRN
305 S ILLINOIS ST
BELLEVILLE, IL 62220-2133
Phone number: 618-235-1703
Copy
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