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1881030682
AMANDA E ENNEN
GREENVILLE, IL
NPI
1881030682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.010436)
Enumeration Date
2013-05-20
Last Update Date
2013-05-20
Business Address
-- AMANDA E ENNEN FNP
201 HEALTH CARE DR
GREENVILLE, IL 62246-1155
Phone number: 618-664-1380
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Mailing Address
-- AMANDA E ENNEN FNP
201 HEALTH CARE DR
GREENVILLE, IL 62246-1155
Phone number: 618-664-1380
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