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1821242553
LORI LEE SPICER
CHAMPAIGN, IL
NPI
1821242553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043046465)
Enumeration Date
2008-11-07
Last Update Date
2008-11-07
Business Address
Mrs. LORI LEE SPICER
202 W PARK AVE
CHAMPAIGN, IL 61820-3929
Phone number: 217-373-2430
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Mailing Address
Mrs. LORI LEE SPICER
13 VALERA CT
MONTICELLO, IL 61856-2156
Phone number:
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