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1790454577
AMBER DUST
MATTOON, IL
NPI
1790454577
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Former Name
AMBER MORRELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209022958)
Enumeration Date
2021-09-07
Last Update Date
2021-11-23
Business Address
AMBER DUST APRN, CNP
2512 HURST DR
MATTOON, IL 61938-9200
Phone number: 217-258-5900
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Mailing Address
AMBER DUST APRN, CNP
611 W PARK ST
URBANA, IL 61801-2529
Phone number:
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