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1992316376
TATUM J REYNOLDS
SPRINGFIELD, IL
NPI
1992316376
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Former Name
TATUM J JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209021803)
Enumeration Date
2020-08-11
Last Update Date
2022-04-28
Business Address
TATUM J REYNOLDS APN
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711-9252
Phone number: 217-547-9100
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Mailing Address
TATUM J REYNOLDS APN
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711-9252
Phone number: 217-547-9100
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