CHARLES KEITH VINEYARD

HARRISBURG, IL
NPI1558073189
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043072027)
Enumeration Date2022-12-14
Last Update Date2022-12-14
Business Address
CHARLES KEITH VINEYARD
608 ROLLIE MOORE DR
HARRISBURG, IL 62946-2351
Phone number: 618-252-6150
Mailing Address
CHARLES KEITH VINEYARD
608 ROLLIE MOORE DR
HARRISBURG, IL 62946-2351
Phone number: 618-252-6150
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