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Individual

KATY EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH, PHDH

Contact information

Practice address
125 W COLUMBIAN BLVD S, LITCHFIELD, IL 62056-3021
(217) 250-2360
(217) 250-2365
Mailing address
205 OAKLAND AVE, CARLINVILLE, IL 62626-1921
(217) 854-3223

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020016058
IL

Other

Enumeration date
08/30/2022
Last updated
08/30/2022
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