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Individual

BETHANY ALEECE HAUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
210 AVENUE C, DANVILLE, IL 61832-5410
(217) 442-3200
(217) 442-7460
Mailing address
210 AVENUE C, DANVILLE, IL 61832-5410
(217) 442-3200
(217) 442-7460

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043122631
IL

Other

Enumeration date
10/03/2018
Last updated
10/03/2018
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