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Individual

VERONICA LYNN DAVISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
201 BAILEY LN, BENTON, IL 62812-1969
(618) 438-3113
Mailing address
PO BOX 155, CHRISTOPHER, IL 62822-0155
(618) 724-2436

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043062176
IL

Other

Enumeration date
09/18/2008
Last updated
09/18/2008
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