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Deeann Marie Tate
Private Vehicle in Dallas City, Illinois
NPI 1851564793

Deeann Marie Tate is a Private Vehicle based in Dallas City, IL. Deeann Marie Tate practices in Dallas City, IL. The NPI Number for Deeann Marie Tate is 1851564793 and holds a License No. T30017377621 (Illinois).

The current practice location address for Deeann Marie Tate is Rr 1 Box 47A, Dallas City, IL and can be reached out via phone at 309-337-4629 and via fax at 217-852-9919.

Location: Rr 1 Box 47A, Dallas City, IL, 62330-9611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851564793
Provider Name
Deeann Marie Tate
Credential
Provider Entity Type
Individual
Gender
Female
Address
Rr 1 Box 47A, Dallas City, IL, 62330-9611
Phone Number
309-337-4629
Fax Number
217-852-9919
Provider Enumeration Date
04/11/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Rr 1 Box 47A
City
Dallas City
State
Illinois
Zip
62330-9611
Phone Number
309-337-4629
Fax Number
217-852-9919
person
Provider Business Mailing Address Details
Address
Rr 1 Box 47A
City
Dallas City
State
Illinois
Zip
62330-9611
Phone Number
309-337-4629
Fax Number
217-852-9919
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
T30017377621 (Illinois)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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