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1447795935
DENISE KATRINA DAVIS
CARBONDALE, IL
NPI
1447795935
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043.121699)
Enumeration Date
2016-12-20
Last Update Date
2016-12-20
Business Address
-- DENISE KATRINA DAVIS
43 HILLCREST DR
CARBONDALE, IL 62901-2444
Phone number: 618-201-2925
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Mailing Address
-- DENISE KATRINA DAVIS
43 HILLCREST DR
CARBONDALE, IL 62901-2444
Phone number: 618-201-2925
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