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1780961615
CAROL A WATERS
DECATUR, IL
NPI
1780961615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IL 209.008970)
Enumeration Date
2011-11-07
Last Update Date
2011-11-07
Business Address
-- CAROL A WATERS CRNA
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number: 217-876-8121
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Mailing Address
-- CAROL A WATERS CRNA
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number: 217-876-8121
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