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1730847971
JULIA LIGHT
MOUNT VERNON, IL
NPI
1730847971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.025022)
Enumeration Date
2021-12-06
Last Update Date
2022-05-09
Business Address
JULIA LIGHT FNP
12084 E HUTCHISON RD
MOUNT VERNON, IL 62864-7869
Phone number: 814-979-2775
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Mailing Address
JULIA LIGHT FNP
12084 E HUTCHISON RD
MOUNT VERNON, IL 62864-7869
Phone number: 814-979-2775
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