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1104113893
BRENDA L MICHEL
SPRINGFIELD, IL
NPI
1104113893
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Former Name
BRENDA L HAUPT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209-008725)
Enumeration Date
2011-07-01
Last Update Date
2011-08-02
Business Address
-- BRENDA L MICHEL FNP-BC
751 N RUTLEDGE ST SUITE 2300
SPRINGFIELD, IL 62702-4968
Phone number: 217-545-3821
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Mailing Address
-- BRENDA L MICHEL FNP-BC
PO BOX 19636
SPRINGFIELD, IL 62794-9636
Phone number: 217-545-3821
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