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1518068691
KATHY S MOSSMAN
ELDORADO, IL
NPI
1518068691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043066991)
Enumeration Date
2006-09-25
Last Update Date
2007-07-08
Business Address
Miss KATHY S MOSSMAN LPN
1306 MAPLE ST DOCTORS CLINIC
ELDORADO, IL 62930
Phone number: 618-273-2360
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Mailing Address
Miss KATHY S MOSSMAN LPN
PO BOX 155 REA CLINIC
CHRISTOPHER, IL 62822
Phone number: 618-724-2401
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