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1912760141
SARA S WALLIS
DECATUR, IL
NPI
1912760141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: IL 209029068)
Enumeration Date
2024-01-31
Last Update Date
2024-09-25
Business Address
SARA S WALLIS AGACNP
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number: 217-876-4200
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Mailing Address
SARA S WALLIS AGACNP
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number: 217-876-4200
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