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1013076702
BECKY LARGENT
NORMAL, IL
NPI
1013076702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL 209.021596)
Enumeration Date
2006-12-08
Last Update Date
2020-08-14
Business Address
BECKY LARGENT LCSW, APRN, PMHNP
2200 FORT JESSE RD
NORMAL, IL 61761-6286
Phone number: 309-664-3130
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Mailing Address
BECKY LARGENT LCSW, APRN, PMHNP
18891 PIONEER ST.
BLOOMINGTON, IL 61704
Phone number: 309-825-6648
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