Laurie Marie Jeans

NPI 1144492257 - Specialist - 174400000X

NPI Details
NPI 1144492257
Gender Female
Enumeration Date 03/28/2008
Last Updated 03/28/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2404 E EMPIRE ST
BLOOMINGTON IL, 61704-3630, US
Phone (309) 663-8275
Fax (309) 662-7872
Business Location
2404 E EMPIRE ST
BLOOMINGTON IL, 61704-3630, US
Phone (309) 663-8275
Fax (309) 662-7872
Toxanomy
Taxonomy Code 174400000X
License State
License Number
Remove 1144492257 NPI Number
 

According to our database, Mrs. Laurie Marie Jeans NPI is 1144492257, taxonomy code is 174400000X Laurie Marie Jeans physically located at 2404 E Empire St, Bloomington IL, 61704-3630. NPI Number Laurie Marie Jeans has the Individual type.

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1144492257 NPI number is provided on an as is basis without warranty of any kind. 1144492257 is maintained by the National Plan & Provider Enumeration System. The contents of Laurie Marie Jeans are for informational purposes only.