Individual
MALINDA COOLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 N MAIN, ROANOKE, IL 61561
(309) 923-2661
(309) 923-7628
Mailing address
401 N MAIN, ROANOKE, IL 61561
(309) 923-2661
(309) 923-7628
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
041309753/209004800
IL
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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