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Individual

ALLYSON CHANTELL QUICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1522 9TH ST, ROCK ISLAND, IL 61201-3432
(309) 912-4425
Mailing address
PO BOX 6374, ROCK ISLAND, IL 61204-6374
(309) 912-4425

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.125779
IL

Other

Enumeration date
09/28/2021
Last updated
09/28/2021
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