Individual
MS. DEANNE MARIE BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SURGICAL ASSISTANT
Contact information
Practice address
3002 GILL ST, SUITE 3, BLOOMINGTON, IL 61704
(309) 846-4716
Mailing address
303 E PINE ST, CHATSWORTH, IL 60921-9205
(815) 635-3854
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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