ANGIE DETWILER

BLOOMINGTON, IL
NPI1033654470
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: IL  209.014746)
Enumeration Date2016-12-20
Last Update Date2016-12-20
Business Address
-- ANGIE DETWILER CNM
6 WESTPORT CT
BLOOMINGTON, IL 61704-8233
Phone number: 309-722-4020
Mailing Address
-- ANGIE DETWILER CNM
6 WESTPORT CT
BLOOMINGTON, IL 61704-8233
Phone number:
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