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1851992622
DESTINEE LATHON
SPRINGFIELD, IL
NPI
1851992622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
Enumeration Date
2020-11-06
Last Update Date
2020-11-06
Business Address
DESTINEE LATHON CNA
1731 FAIRMONT DR
SPRINGFIELD, IL 62702-2927
Phone number: 217-953-1004
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Mailing Address
DESTINEE LATHON CNA
1731 FAIRMONT DR
SPRINGFIELD, IL 62702-2927
Phone number: 217-953-1004
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