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Individual

DAMECKIA SATTLEFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
34 EDNICK DR, SWANSEA, IL 62226-1914
(618) 779-2748
Mailing address
34 EDNICK DR, SWANSEA, IL 62226-1914
(618) 779-2748

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
01/09/2025
Last updated
01/09/2025
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