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Individual

MISS ERICA LYNN MYHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
131 ELMO AVE, SOUTH BELOIT, IL 61080-1218
(608) 346-4928
Mailing address
131 ELMO AVE, SOUTH BELOIT, IL 61080-1218
(608) 346-4928

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
318639
WI

Other

Enumeration date
08/07/2014
Last updated
02/17/2016
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