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Individual

VICKI JO WHITE-BARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3303 LOGAN DR, HERRIN, IL 62948-3732
(618) 993-5767
Mailing address
PO BOX 155, CHRISTOPHER, IL 62822-0155
(618) 724-2401

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043056486
IL

Other

Enumeration date
06/11/2013
Last updated
06/11/2013
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