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MRS. CLEONA MARIE SWARTZENTRUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
104 S THIRD ST, FISHER, IL 61843
(217) 897-1692
(217) 897-6027
Mailing address
222 N SANGAMON AVE, GIBSON CITY, IL 60936
(217) 784-8148
(217) 784-8160

Taxonomy

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

Other

Enumeration date
10/04/2006
Last updated
07/08/2007
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