ELLYN DIANE DEE

CHAMPAIGN, IL
NPI1871793422
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: IL  41217802)
Enumeration Date2007-07-23
Last Update Date2007-07-23
Business Address
-- ELLYN DIANE DEE RN
202 W PARK AVE
CHAMPAIGN, IL 61820-3929
Phone number: 217-373-2430
Mailing Address
-- ELLYN DIANE DEE RN
202 W PARK AVE
CHAMPAIGN, IL 61820-3929
Phone number: 217-373-2430
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