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1770996217
COLLEEN ATHEY
DECATUR, IL
NPI
1770996217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043-117253)
Enumeration Date
2014-06-03
Last Update Date
2014-06-03
Business Address
-- COLLEEN ATHEY
151 N MAIN ST
DECATUR, IL 62523-1206
Phone number: 217-420-4747
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Mailing Address
-- COLLEEN ATHEY
151 N MAIN ST
DECATUR, IL 62523-1206
Phone number: 217-420-4747
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