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1891126108
JEANNINE FAIR
DEKALB, IL
NPI
1891126108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 041.255540)
Enumeration Date
2013-12-12
Last Update Date
2013-12-12
Business Address
-- JEANNINE FAIR NP
1 KISH HOSPITAL DR
DEKALB, IL 60115-9602
Phone number: 815-756-1521
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Mailing Address
-- JEANNINE FAIR NP
1 KISH HOSPITAL DR
DEKALB, IL 60115-9602
Phone number: 815-756-1521
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