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DANIEL LOGAN HOWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN

Contact information

Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(309) 672-5500
(309) 672-4246
Mailing address
3409 WINDMILL RD, BLOOMINGTON, IL 61704-1224
(309) 999-1090
(309) 999-1094

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209020709
IL

Other

Enumeration date
03/19/2020
Last updated
03/19/2020
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