Kathy Dale

NPI #1407218274 in Springfield, Illinois

Provider Information

NPI Number: 1407218274
Entity Type: Individual
Name: Kathy Dale
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Mar 22, 2016
Last Updated: Mar 23, 2016

Practice Location

Address: 710 N 8TH ST
City: Springfield
State: Illinois
ZIP Code: 62702-6324
Phone: (217) 525-1064

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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