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1306350780
ANGELA SUE BIRDSELL
BLOOMINGTON, IL
NPI
1306350780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209016781)
Enumeration Date
2017-11-21
Last Update Date
2017-11-21
Business Address
ANGELA SUE BIRDSELL APN
2406 E EMPIRE ST
BLOOMINGTON, IL 61704-3630
Phone number: 309-662-4321
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Mailing Address
ANGELA SUE BIRDSELL APN
102 S MARY ST
ATLANTA, IL 61723-8993
Phone number: 217-737-1694
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