JALA BETH TAYLOR

FAIRFIELD, IL
NPI1447519046
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043079196)
Enumeration Date2012-05-16
Last Update Date2012-05-16
Business Address
-- JALA BETH TAYLOR LPN
209 NW 11TH ST
FAIRFIELD, IL 62837-1218
Phone number: 618-842-4470
Mailing Address
-- JALA BETH TAYLOR LPN
PO BOX 155
CHRISTOPHER, IL 62822-0155
Phone number: 618-724-2436
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