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Individual

KRISTINA J MARSHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNS

Contact information

Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3087
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-308084
IL
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
209007337
IL

Other

Enumeration date
10/08/2008
Last updated
02/13/2024
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