Individual
GESIELE L MOCKABEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 E NORTH ST, DANVILLE, IL 61832
(217) 442-9447
(217) 442-8761
Mailing address
701 CHANDLER, DANVILLE, IL 61832
(217) 431-0893
(217) 442-8761
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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