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Individual

JOANNA E TEDFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4174 STARLIGHT AVE, DECATUR, IL 62526-1290
(217) 521-5240
Mailing address
4174 STARLIGHT AVE, DECATUR, IL 62526-1290
(217) 521-5240

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
041429726
IL

Other

Enumeration date
01/28/2019
Last updated
01/28/2019
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