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Individual

JESSICA CAROL PIND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1130 E WALNUT ST, CARBONDALE, IL 62901-5007
(618) 351-1031
Mailing address
1130 E WALNUT ST, CARBONDALE, IL 62901-5007
(618) 351-1031
(618) 351-1107

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
04308815
IL

Other

Enumeration date
12/06/2022
Last updated
12/06/2022
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