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Individual

MRS. ROSE MARIE STRAETER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
15625 N SQUIRE LN, MOUNT VERNON, IL 62864-8620
(618) 244-2789
Mailing address
15625 N SQUIRE LN, MOUNT VERNON, IL 62864-8620
(618) 244-2789

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
IL

Other

Enumeration date
05/21/2007
Last updated
07/26/2007
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