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1689603177
ELLEN MAXSON
HINES, IL
NPI
1689603177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult
(Licence: IL 209003146)
Enumeration Date
2006-06-30
Last Update Date
2007-07-08
Business Address
-- ELLEN MAXSON
HINES VETERANS ADMINISTRATION
HINES, IL 60141-9910
Phone number: 708-202-7090
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Mailing Address
-- ELLEN MAXSON
18W092 16TH ST
VILLA PARK, IL 60181-3849
Phone number:
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