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1093712002
MARY A BEAM
DECATUR, IL
NPI
1093712002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IL 209-000184)
Enumeration Date
2005-07-05
Last Update Date
2007-07-08
Business Address
-- MARY A BEAM CRNA
1800 E LAKE SHORE DR
DECATUR, IL 62521-3810
Phone number: 217-464-2729
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Mailing Address
-- MARY A BEAM CRNA
236 S. 6TH STREET
RIVERTON, IL 62561
Phone number: 217-629-7401
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