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Individual

MS. BETH A MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CST

Contact information

Practice address
7303 N KNOXVILLE AVE, PEORIA, IL 61614-2017
(309) 691-4005
(309) 691-6144
Mailing address
7303 N KNOXVILLE AVE, PEORIA, IL 61614-2017
(309) 691-4005
(309) 691-6144

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
063029
IL

Other

Enumeration date
01/24/2008
Last updated
01/24/2008
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