SARAH RAE WICKENHAUSER

SPRINGFIELD, IL
NPI1760994404
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209016863)
Enumeration Date2017-11-03
Last Update Date2021-12-30
Business Address
SARAH RAE WICKENHAUSER
5220 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703-5735
Phone number: 217-993-0998
Mailing Address
SARAH RAE WICKENHAUSER
2806 E ANDREW RD
SHERMAN, IL 62684-9517
Phone number: 217-483-1900
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