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Individual

DEANNA PRATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
310 N MARKET ST, WATERLOO, IL 62298-1533
(618) 978-0744
Mailing address
310 N MARKET ST, WATERLOO, IL 62298-1533

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2005033273
MO

Other

Enumeration date
01/13/2021
Last updated
01/13/2021
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