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1780848028
MAEGAN LEA WILBANKS
MARION, IL
NPI
1780848028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: IL 057.002968)
Enumeration Date
2008-07-16
Last Update Date
2008-07-16
Business Address
Ms. MAEGAN LEA WILBANKS COTA/L
2907 WILLIAMSON COUNTY PKWY
MARION, IL 62959-5256
Phone number: 618-998-9894
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Mailing Address
Ms. MAEGAN LEA WILBANKS COTA/L
531 N WASHINGTON ST
DU QUOIN, IL 62832-1221
Phone number: 618-559-6318
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