MERILYN D BANNER

DECATUR, IL
NPI1568896314
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043117144)
Enumeration Date2013-08-29
Last Update Date2013-08-29
Business Address
-- MERILYN D BANNER
151 N MAIN ST
DECATUR, IL 62523-1206
Phone number: 217-362-6262
Mailing Address
-- MERILYN D BANNER
151 N MAIN ST
DECATUR, IL 62523-1206
Phone number:
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