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1639408503
MARY J WALLIN
EFFINGHAM, IL
NPI
1639408503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043051122)
Enumeration Date
2009-12-23
Last Update Date
2009-12-23
Business Address
Mrs. MARY J WALLIN L.P.N
300 N MAPLE ST
EFFINGHAM, IL 62401-2003
Phone number: 217-342-4151
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Mailing Address
Mrs. MARY J WALLIN L.P.N
P.O. BOX 1268 300 NORTH MAPLE STREET
EFFINGHAM, IL 62401
Phone number: 217-342-4151
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