PAULA ICENOGLE

Driver

Active Individual
NPI: 1023281847

Practice Address

708 SHERRY ST
Colchester, IL 62326

Phone: (309) 776-3978

Specialties

Specialty Code Primary License
Driver 172A00000X Yes I25267678827 (IL)

Frequently Asked Questions

NPI 1023281847 is the National Provider Identifier for PAULA ICENOGLE, a Driver provider located in Colchester, IL. This NPI was enumerated on April 13, 2008.
PAULA ICENOGLE practices at 708 SHERRY ST, Colchester, IL 62326.

Quick Facts

NPI
1023281847
Type
Individual
Enumerated
Apr 13, 2008
Last Updated
Apr 13, 2008

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