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1538870084
TERESA DIANE CLARK
EFFINGHAM, IL
NPI
1538870084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: IL c041.273517)
Enumeration Date
2022-12-06
Last Update Date
2022-12-06
Business Address
TERESA DIANE CLARK RN
1011 FORD AVE
EFFINGHAM, IL 62401-1701
Phone number: 217-347-7600
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Mailing Address
TERESA DIANE CLARK RN
1011 FORD AVE
EFFINGHAM, IL 62401-1701
Phone number: 217-347-7600
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