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Individual

ANN LYNN BRAVERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
624 NE GLEN OAK AVE, NORTH BUILDING SUITE 2624, PEORIA, IL 61637-0001
(309) 655-6710
Mailing address
624 NE GLEN OAK AVE, NORTH BUILDING, SUITE 2624, PEORIA, IL 61637-0001

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/06/2026
Last updated
04/06/2026
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