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RACHAEL DEMATTEI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
321 REGENCY PARK STE 100, O FALLON, IL 62269-1887
(618) 416-7970
(618) 416-7971
Mailing address
PO BOX 25228, DECATUR, IL 62525-5228
(217) 329-3232
(217) 233-1670

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041495134
IL
163W00000X
Registered Nurse
2017003138
MO
363L00000X
Nurse Practitioner
Primary
209027937
IL

Other

Enumeration date
03/15/2022
Last updated
10/17/2023
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