Individual
ANGI MARTINPRUDENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
975 N HENDERSON ST, SUITE 3, GALESBURG, IL 61401-2577
(309) 342-0458
(309) 342-0458
Mailing address
975 N HENDERSON ST, SUITE 3, GALESBURG, IL 61401-2577
(309) 342-0458
(309) 342-0458
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001084
IL
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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