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Individual

MRS. SUSAN G SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, QMRP, QMHP

Contact information

Practice address
RR 1 BOX 99AA, GOLCONDA, IL 62938-9619
(618) 285-3361
(618) 285-3362
Mailing address
RR 1 BOX 308, CAVE IN ROCK, IL 62919-9770
(618) 285-3361
(618) 285-3362

Taxonomy

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

Other

Enumeration date
09/27/2006
Last updated
07/08/2007
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