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Individual

MRS. TERRI L. TWENHAFEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
305 W JACKSON ST, SUITE 100, CARBONDALE, IL 62901-1474
(618) 457-0404
(618) 457-6579
Mailing address
305 W JACKSON ST, SUITE 100, CARBONDALE, IL 62901-1474
(618) 457-0404
(618) 457-6579

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
209000628
IL

Other

Enumeration date
09/14/2006
Last updated
05/14/2008
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