Individual
REGINA KAY SPURLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
27 CIRCLE ST, ZEIGLER, IL 62999-1148
(618) 596-2411
Mailing address
PO BOX 155, CHRISTOPHER, IL 62822-0155
(618) 724-2436
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043077769
IL
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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