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Individual

MRS. MARTHA SPERLING WASHBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
2303 DODGE AVE, WAUKEGAN, IL 60085-6106
(847) 377-8470
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
41303517
IL

Other

Enumeration date
02/22/2008
Last updated
02/22/2008
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