Individual
KARLA JO SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
975 S ANNIE GLIDDEN RD, DEKALB, IL 60115-5838
(815) 748-6202
Mailing address
975 S ANNIE GLIDDEN RD, DEKALB, IL 60115-5838
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051041229
IL
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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