THERESA M BOLEY

SPRINGFIELD, IL
NPI1184605743
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209000839)
Enumeration Date2005-11-10
Last Update Date2012-10-24
Business Address
-- THERESA M BOLEY CFNP
315 W CARPENTER ST 2ND FLOOR
SPRINGFIELD, IL 62702-4901
Phone number: 217-545-7422
Mailing Address
-- THERESA M BOLEY CFNP
PO BOX 19638
SPRINGFIELD, IL 62794-9638
Phone number: 217-545-7422
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