DEEANN TATE

Private Vehicle

Active Individual
NPI: 1851564793

Practice Address

RR 1 BOX 47A
Dallas City, IL 62330

Phone: (309) 337-4629

Specialties

Specialty Code Primary License
Private Vehicle 347C00000X Yes T30017377621 (IL)

Frequently Asked Questions

NPI 1851564793 is the National Provider Identifier for DEEANN TATE, a Private Vehicle provider located in Dallas City, IL. This NPI was enumerated on April 11, 2008.
DEEANN TATE practices at RR 1 BOX 47A, Dallas City, IL 62330.

Quick Facts

NPI
1851564793
Type
Individual
Enumerated
Apr 11, 2008
Last Updated
Apr 11, 2008

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