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Individual

MRS. KAREN JANE LAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.R.N.P.

Contact information

Practice address
204 CENTER ST, AUGUSTA, IL 62311-1228
(217) 392-2108
(217) 392-2110
Mailing address
PO BOX 160, CARTHAGE, IL 62321-0160
(217) 392-2108
(217) 392-2110

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A040943
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
209010407
IL
Enumeration date
06/28/2006
Last updated
01/13/2015
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