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1790333540
KRISTINA NICOLE SMITH
MATTOON, IL
NPI
1790333540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: IL 209019250)
Enumeration Date
2019-08-26
Last Update Date
2024-11-05
Business Address
KRISTINA NICOLE SMITH APRN,FNP-C
1201 WOODDELL WAY STE B
MATTOON, IL 61938-1014
Phone number: 217-238-3000
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Mailing Address
KRISTINA NICOLE SMITH APRN,FNP-C
PO BOX 372
MATTOON, IL 61938-0372
Phone number:
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