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1649845280
SUSAN MARIE LATHE
STERLING, IL
NPI
1649845280
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL 209.023290041.438653)
Enumeration Date
2021-05-25
Last Update Date
2021-05-25
Business Address
SUSAN MARIE LATHE NP
1107 LONG CT
STERLING, IL 61081-1525
Phone number: 309-281-9584
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Mailing Address
SUSAN MARIE LATHE NP
1107 LONG CT
STERLING, IL 61081-1525
Phone number: 309-281-9584
Copy
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