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1770248759
MARIETTA KELLUM
CARTERVILLE, IL
NPI
1770248759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: IL 41.157902)
Enumeration Date
2021-11-03
Last Update Date
2021-11-03
Business Address
MARIETTA KELLUM RN
14999 PACKER LN
CARTERVILLE, IL 62918-3242
Phone number: 618-967-8709
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Mailing Address
MARIETTA KELLUM RN
14999 PACKER LN
CARTERVILLE, IL 62918-3242
Phone number:
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