Paula R Icenogle
Paula R Icenogle is a Driver in Colchester, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
Practice location Address checks out
708 Sherry StColchester, IL 62326-1176
Phone: (309) 776-3978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence I25267678827 (IL) |
|---|
Record details
| NPI number | 1023281847 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 13, 2008 |
| Last updated in NPPES | April 13, 2008 |
| Mailing address | 708 Sherry St, Colchester, IL 62326-1176 |