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1700620184
TAYLOR N MODGLIN
METROPOLIS, IL
NPI
1700620184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209029871)
Enumeration Date
2024-06-21
Last Update Date
2024-10-10
Business Address
TAYLOR N MODGLIN APRN
1711 METROPOLIS ST
METROPOLIS, IL 62960-1355
Phone number: 618-638-6523
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Mailing Address
TAYLOR N MODGLIN APRN
1000 W DEYOUNG ST
MARION, IL 62959-1630
Phone number: 618-993-5274
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