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Individual

BECKY LYNN BOHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
111 N WABASH AVE, SUITE 1321, CHICAGO, IL 60602-1903
(312) 726-6761
Mailing address
111 N WABASH AVE, SUITE 1321, CHICAGO, IL 60602-1903
(312) 726-6761

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
041-161905
IL

Other

Enumeration date
09/25/2008
Last updated
09/25/2008
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