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Organization

WELLNESS CARE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GINGER DARTY FNP (OWNER)
(618) 792-5970
Entity
Organization

Contact information

Practice address
701 SAINT NICHOLAS DR, CAHOKIA, IL 62206-1837
(888) 995-2802
(618) 306-9518
Mailing address
355 WINCHESTER PL, FAIRVIEW HEIGHTS, IL 62208
(618) 792-5970
(618) 306-9518

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
05/04/2023
Last updated
10/21/2024
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