MISS Mary Lee

NPI #1801109251 in Clinton, Illinois

Provider Information

NPI Number
1801109251
Entity Type
Individual
Name
MISS Mary Lee
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Jul 14, 2010
Last Updated
Jul 14, 2010

Practice Location

Address
1150 STATE ROUTE 54 W
ZIP Code
61727-2148
Phone
(217) 935-9496

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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