Kelly Sue Hargis

NPI #1508151192 in Marshall, Illinois

Provider Information

NPI Number
1508151192
Entity Type
Individual
Name
Kelly Sue Hargis
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor
Enumeration Date
Jun 13, 2011
Last Updated
Jun 13, 2011

Practice Location

Address
24994 E FISHBACK RD
ZIP Code
62441-4695
Phone
(217) 264-5355

Specialties & Taxonomy Codes

Specialty
Contractor

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