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1689082174
KATHY DERRICK
URBANA, IL
NPI
1689082174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209011668)
Enumeration Date
2014-07-28
Last Update Date
2021-01-29
Business Address
Mrs. KATHY DERRICK FNP-BC
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-2410
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Mailing Address
Mrs. KATHY DERRICK FNP-BC
611 W PARK ST FAPC
URBANA, IL 61801
Phone number:
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