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Individual

MARKETTA MCCOLLOUGH

Active
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Individual

MARKETTA MCCOLLOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2023-N1952
IL
163WC1500X
Community Health Registered Nurse
Primary
2023-N1952
IL
163WH0200X
Home Health Registered Nurse
2023-N1952
IL
163WR0400X
Rehabilitation Registered Nurse
2023-N1952
IL
172V00000X
Community Health Worker
—
NULL

Other

Enumeration date
01/05/2022
Last updated
06/30/2023
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