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Individual

MALINDA M BABCOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
435 MAXINE DR STE 3&4, MORTON, IL 61550-2498
(309) 263-2424
Mailing address
435 MAXINE DR STE 3&4, MORTON, IL 61550-2498
(309) 263-2424

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-009132
IL

Other

Enumeration date
10/14/2011
Last updated
10/14/2011
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