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Individual
MRS. KATIE L MEADOR
Active
Individual
MRS. KATIE L MEADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209010897
IL
Other
Enumeration date
01/29/2014
Last updated
07/23/2020
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