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1760211049
MALISSA SANDERS
KEWANEE, IL
NPI
1760211049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043110668)
Enumeration Date
2024-07-26
Last Update Date
2024-07-26
Business Address
MALISSA SANDERS
110 N BURR BLVD
KEWANEE, IL 61443-2214
Phone number: 309-852-5272
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Mailing Address
MALISSA SANDERS
110 N BURR BLVD
KEWANEE, IL 61443-2214
Phone number: 309-852-5272
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