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1215237987
MARVIS CUSTER
BLOOMINGTON, IL
NPI
1215237987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364S00000X Clinical Nurse Specialist
(Licence: IL 209003675)
Enumeration Date
2010-10-28
Last Update Date
2010-10-28
Business Address
-- MARVIS CUSTER
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704-2101
Phone number: 309-662-3000
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Mailing Address
-- MARVIS CUSTER
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704-2101
Phone number:
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