MITZIE RALPH FAIRFIELD

CHAMPAIGN, IL
NPI1063580058
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: IL  209-000689)
Enumeration Date2006-11-30
Last Update Date2008-10-24
Business Address
Ms. MITZIE RALPH FAIRFIELD NP
302 E. STOUGHTON
CHAMPAIGN, IL 61820
Phone number: 217-359-8022
Mailing Address
Ms. MITZIE RALPH FAIRFIELD NP
615 COUNTY RD 3400 NORTH
FOOSLAND, IL 61845
Phone number: 217-897-1096
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