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Individual

JACQUELYN SERENA VERSIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
4822 CATON FARM RD, PLAINFIELD, IL 60586-8262
(815) 439-5882
Mailing address
4822 CATON FARM RD, PLAINFIELD, IL 60586-8262
(815) 439-5882

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.297375
IL
183500000X
Pharmacist
PS48047
FL

Other

Enumeration date
01/03/2012
Last updated
12/21/2022
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