LAURA ANNE ETCHASON

DECATUR, IL
NPI1972656791
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164002707)
Enumeration Date2007-01-18
Last Update Date2007-07-08
Business Address
Mrs. LAURA ANNE ETCHASON
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number: 217-876-8121
Mailing Address
Mrs. LAURA ANNE ETCHASON
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number: 217-876-8121
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