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Individual

AMANDA SCHUMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
920 W CUSTER AVE, PONTIAC, IL 61764-1067
(815) 844-6109
Mailing address
PO BOX 768, PONTIAC, IL 61764-0768
(815) 844-6109
(815) 844-3561

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.106863
IL

Other

Enumeration date
11/10/2021
Last updated
06/27/2024
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