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1558647826
JACQUELINE R DENNIS
DECATUR, IL
NPI
1558647826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043090327)
Enumeration Date
2011-10-31
Last Update Date
2011-10-31
Business Address
JACQUELINE R DENNIS LPN
151 N MAIN ST
DECATUR, IL 62523-1206
Phone number: 217-362-6262
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Mailing Address
JACQUELINE R DENNIS LPN
151 N MAIN ST
DECATUR, IL 62523-1206
Phone number: 217-362-6262
Copy
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