MACIE M CLARK

DU QUOIN, IL
NPI1497238612
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043125988)
Enumeration Date2018-09-13
Last Update Date2018-09-13
Business Address
MACIE M CLARK LPN
1564 S WASHINGTON ST
DU QUOIN, IL 62832-3849
Phone number: 618-542-8702
Mailing Address
MACIE M CLARK LPN
4241 HIGHWAY 14 W
CHRISTOPHER, IL 62822-1037
Phone number:
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