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Individual

MRS. MARCELINE KOUGBANI-SEBOU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
801 ILLINI DR, SILVIS, IL 61282-1804
(309) 281-4020
Mailing address
1812 7TH AVE, SILVIS, IL 61282-4701

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.020857
IL

Other

Enumeration date
03/06/2020
Last updated
05/13/2021
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