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Individual

DEBRA JEAN RACHELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
4241 HIGHWAY 14 WEST, CHRISTOPHER, IL 62822
(618) 724-2436
Mailing address
14410 ROUTE 37, JOHNSTON CITY, IL 62951-3166
(618) 983-6911

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043100641
IL

Other

Enumeration date
09/19/2012
Last updated
09/19/2012
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