Deeann Marie Tate

NPI #1851564793 in Dallas City, Illinois

Provider Information

NPI Number
1851564793
Entity Type
Individual
Name
Deeann Marie Tate
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Private Vehicle
Enumeration Date
Apr 11, 2008
Last Updated
Apr 11, 2008

Practice Location

Address
RR 1 BOX 47A
ZIP Code
62330-9611
Phone
(309) 337-4629

Specialties & Taxonomy Codes

Specialty
Private Vehicle

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