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Individual

MS. TONYA STEELE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1711 E POPLAR ST, WEST FRANKFORT, IL 62896-1625
(618) 791-4855
Mailing address
1711 E POPLAR ST, WEST FRANKFORT, IL 62896-1625
(618) 791-4855

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043080986
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106221435
IL
Enumeration date
08/01/2016
Last updated
08/01/2016
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