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Individual

MARY LINDQUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN-BC, BSN, QMHP

Contact information

Practice address
1705 COLLEGE AVE, CARMI, IL 62821-2258
(618) 382-7311
Mailing address
1412 US HIGHWAY 45 N, ELDORADO, IL 62930-3766

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
041.260601
IL

Other

Enumeration date
02/01/2012
Last updated
02/01/2012
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