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Christa Dawn Jennette
Private Vehicle in Olney, Illinois
NPI 1942476908

Christa Dawn Jennette is a Private Vehicle based in Olney, IL. Christa Dawn Jennette practices in Olney, IL. The NPI Number for Christa Dawn Jennette is 1942476908 and holds a License No. (Illinois).

The current practice location address for Christa Dawn Jennette is 1113 Keiffer Dr, Olney, IL and can be reached out via phone at 618-392-4106. You can also correspond with Christa Dawn Jennette through the mailing address at 1113 KEIFFER DR, OLNEY, IL - 62450 (mailing address contact number: 618-392-4106).

Location: 1113 Keiffer Dr, Olney, IL, 62450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942476908
Provider Name
Christa Dawn Jennette
Credential
Provider Entity Type
Individual
Gender
Female
Address
1113 Keiffer Dr, Olney, IL, 62450
Phone Number
618-392-4106
Fax Number
Provider Enumeration Date
04/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
189837230 05 IL
institution
Provider Business Practice Location Address Details
Address
1113 Keiffer Dr
City
Olney
State
Illinois
Zip
62450
Phone Number
618-392-4106
Fax Number
person
Provider Business Mailing Address Details
Address
1113 Keiffer Dr
City
Olney
State
Illinois
Zip
62450
Phone Number
618-392-4106
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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