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Individual

MRS. CHARLOTTE ANN FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
9483 ROUTE 20 W, GALENA, IL 61036-9182
(815) 777-0263
Mailing address
462 DEWEY AVE, GALENA, IL 61036-1906
(217) 853-2846

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041403979
IL

Other

Enumeration date
11/11/2015
Last updated
11/11/2015
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