AUDRA L TRUMP

DECATUR, IL
NPI1780076901
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209-012542)
Enumeration Date2015-02-25
Last Update Date2016-11-14
Business Address
-- AUDRA L TRUMP FNP-C
102 W KENWOOD AVE
DECATUR, IL 62526-4368
Phone number: 217-872-3800
Mailing Address
-- AUDRA L TRUMP FNP-C
102 W KENWOOD AVE
DECATUR, IL 62526-4368
Phone number: 217-872-3800
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