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1699409060
EYDIE GASS
CENTRALIA, IL
NPI
1699409060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043.088069)
Enumeration Date
2022-07-12
Last Update Date
2022-07-12
Business Address
EYDIE GASS
904 M L KING DR
CENTRALIA, IL 62801-3058
Phone number: 618-533-1391
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Mailing Address
EYDIE GASS
904 M L KING DR
CENTRALIA, IL 62801-3058
Phone number: 618-533-1391
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