AGNES A. FENNER

JACKSONVILLE, IL
NPI1528518602
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209014954)
Enumeration Date2016-10-12
Last Update Date2020-06-18
Business Address
AGNES A. FENNER
15 FOUNDERS LN
JACKSONVILLE, IL 62650-3919
Phone number: 217-528-7541
Mailing Address
AGNES A. FENNER
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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