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Individual

CHRISTINA GONZALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
528 POPLAR ST, HIGHLAND, IL 62249-1403
(618) 567-3028
Mailing address
528 POPLAR ST, HIGHLAND, IL 62249-1403
(618) 567-3028

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.119682
IL

Other

Enumeration date
09/01/2016
Last updated
09/01/2016
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