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Individual

JEAN SANDERCOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 HEALTH CENTER DR, MATTOON, IL 61938-9261
(217) 258-4997
(217) 258-2274
Mailing address
1005 HEALTH CENTER DR STE 201, MATTOON, IL 61938-4693
(217) 238-6055
(217) 258-2216

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-015007
IL

Other

Enumeration date
10/21/2016
Last updated
01/07/2019
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