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1114920139
MARY BETH DITMAN
SPRINGFIELD, IL
NPI
1114920139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209-000728)
Enumeration Date
2005-05-23
Last Update Date
2020-05-22
Business Address
Mrs. MARY BETH DITMAN C.F.N.P.
900 N 1ST ST
SPRINGFIELD, IL 62702-3749
Phone number: 217-528-7541
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Mailing Address
Mrs. MARY BETH DITMAN C.F.N.P.
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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