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1417591330
KATIE NEVERGALL
VANDALIA, IL
NPI
1417591330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209020293)
Enumeration Date
2019-11-04
Last Update Date
2019-11-04
Business Address
KATIE NEVERGALL
1442 N 8TH ST
VANDALIA, IL 62471-1031
Phone number: 618-283-0266
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Mailing Address
KATIE NEVERGALL
1442 N 8TH ST
VANDALIA, IL 62471-1031
Phone number: 618-283-0266
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