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Individual

ELENA KATHLEEN MCMILLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
11531 SUNDERLAND RD, MARION, IL 62959-8274
(618) 964-5139
Mailing address
318 W MARKET ST, FARMER CITY, IL 61842-1430
(618) 559-3364

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.118179
IL

Other

Enumeration date
09/11/2017
Last updated
09/11/2017
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