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1598996449
LEE ANN HART MCCAIN
CARBONDALE, IL
NPI
1598996449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.002494)
Enumeration Date
2009-07-27
Last Update Date
2009-07-27
Business Address
Miss LEE ANN HART MCCAIN A.P.N.
405 W JACKSON ST
CARBONDALE, IL 62901-1462
Phone number: 618-549-0721
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Mailing Address
Miss LEE ANN HART MCCAIN A.P.N.
12316 BURGHOFF ST
CARBONDALE, IL 62901-0812
Phone number: 618-534-5790
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