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1902419526
STEPHANIE BURNETT
CARMI, IL
NPI
1902419526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 0431131191)
Enumeration Date
2020-08-24
Last Update Date
2020-08-24
Business Address
STEPHANIE BURNETT LPN
103 COMMERCE ST
CARMI, IL 62821-2223
Phone number: 618-384-5686
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Mailing Address
STEPHANIE BURNETT LPN
4241 HIGHWAY 14 W
CHRISTOPHER, IL 62822-1037
Phone number: 618-724-1684
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