JACQUELYN DORTCH

ELDORADO, IL
NPI1649353160
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  43065488)
Enumeration Date2006-10-21
Last Update Date2007-07-08
Business Address
Mrs. JACQUELYN DORTCH LPN
1306 MAPLE ST DOCTORS CLINIC
ELDORADO, IL 62930
Phone number: 618-273-2360
Mailing Address
Mrs. JACQUELYN DORTCH LPN
PO BOX 155 REA CLINIC
CHRISTOPHER, IL 62822
Phone number: 618-724-2401
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