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1528434222
ANGELA L KING
DECATUR, IL
NPI
1528434222
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Former Name
ANGELA L SUMPTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209013099)
Enumeration Date
2015-08-17
Last Update Date
2015-08-17
Business Address
Mrs. ANGELA L KING FNP
2905 N MAIN ST
DECATUR, IL 62526-4274
Phone number: 217-877-9117
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Mailing Address
Mrs. ANGELA L KING FNP
4731 BARBERRY CT
DECATUR, IL 62526-9329
Phone number: 217-791-2003
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