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1619586906
LISA ANN HARRISON
MATTOON, IL
NPI
1619586906
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Former Name
LISA ANN WALTERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: IL 0415475974)
Enumeration Date
2020-07-23
Last Update Date
2020-07-23
Business Address
LISA ANN HARRISON RN
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
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Mailing Address
LISA ANN HARRISON RN
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
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