Individual
NANCY DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 S MARKET ST, MASCOUTAH, IL 62258-2432
(618) 971-6927
Mailing address
114 S MARKET ST, MASCOUTAH, IL 62258-2432
(618) 971-6927
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.180759
IL
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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