AMANDA GANT

CHRISTOPHER, IL
NPI1851814305
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043123046)
Enumeration Date2017-07-17
Last Update Date2017-07-17
Business Address
AMANDA GANT LPN
4241 HIGHWAY 14 W
CHRISTOPHER, IL 62822-1037
Phone number: 618-724-2401
Mailing Address
AMANDA GANT LPN
4241 HIGHWAY 14 W
CHRISTOPHER, IL 62822-1037
Phone number: 618-724-2401
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