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Individual

MRS. D SUZANNE MCCLURE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
903 SOUTH FIRST STREET, APARTMENT 122, CHAMPAIGN, IL 61820-6086
(217) 836-0122
Mailing address
1 PINE LANE, BEARDSTOWN, IL 62618-8019
(217) 323-3442
(217) 323-5522

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
05/03/2007
Last updated
07/08/2007
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