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1235505108
BETHANY JOY WINFREY FERGUSON
PEORIA, IL
NPI
1235505108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209-013059)
Enumeration Date
2015-08-14
Last Update Date
2023-09-15
Business Address
BETHANY JOY WINFREY FERGUSON FNP-BC
2321 N WISCONSIN AVE
PEORIA, IL 61603-5613
Phone number: 309-680-7600
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Mailing Address
BETHANY JOY WINFREY FERGUSON FNP-BC
2321 N WISCONSIN AVE
PEORIA, IL 61603-5613
Phone number: 309-680-7600
Copy
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