Individual
NICOLE LYNN DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NCBTMB
Contact information
Practice address
640 W SOUTH ST, FREEPORT, IL 61032-6838
(815) 235-2301
Mailing address
640 W SOUTH ST, FREEPORT, IL 61032-6838
(815) 235-2301
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
227.011956
IL
Other
Enumeration date
05/20/2015
Last updated
05/07/2020
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