Angela K Roberts

NPI 1174742399 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1174742399
Gender Female
Enumeration Date 04/25/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
151 N MAIN ST
DECATUR IL, 62523-1206, US
Phone (217) 362-6262
Fax
Business Location
PO BOX 710
DECATUR IL, 62525-0710, US
Phone (217) 362-6262
Fax
Toxanomy
Taxonomy Code 164W00000X
License State
License Number
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According to our database, Angela K Roberts NPI is 1174742399, taxonomy code is 164W00000X Angela K Roberts physically located at 151 N Main St, Decatur IL, 62523-1206. NPI Number Angela K Roberts has the Individual type.

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1174742399 NPI number is provided on an as is basis without warranty of any kind. 1174742399 is maintained by the National Plan & Provider Enumeration System. The contents of Angela K Roberts are for informational purposes only.