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Molly Shawnakaye Durbin
Student in an Organized Health Care Education/Training Program in Pocahontas, Illinois
NPI 1831621945

Molly Shawnakaye Durbin is a Student in an Organized Health Care Education/Training Program based in Pocahontas, IL. Molly Shawnakaye Durbin practices in Pocahontas, IL. The NPI Number for Molly Shawnakaye Durbin is 1831621945 and holds a License No. (Illinois).

The current practice location address for Molly Shawnakaye Durbin is 510 Leaverton St, Pocahontas, IL and can be reached out via phone at 618-570-1102. You can also correspond with Molly Shawnakaye Durbin through the mailing address at 510 LEAVERTON ST, POCAHONTAS, IL - 62275-3010 (mailing address contact number: 618-570-1102).

Location: 510 Leaverton St, Pocahontas, IL, 62275-3010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831621945
Provider Name
Molly Shawnakaye Durbin
Credential
Provider Entity Type
Individual
Gender
Female
Address
510 Leaverton St, Pocahontas, IL, 62275-3010
Phone Number
618-570-1102
Fax Number
Provider Enumeration Date
03/28/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
113860332 05 IL
institution
Provider Business Practice Location Address Details
Address
510 Leaverton St
City
Pocahontas
State
Illinois
Zip
62275-3010
Phone Number
618-570-1102
Fax Number
person
Provider Business Mailing Address Details
Address
510 Leaverton St
City
Pocahontas
State
Illinois
Zip
62275-3010
Phone Number
618-570-1102
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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