CARISSA GORHAM

PEORIA, IL
NPI1407259559
Former NameCARISSA MYERS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy364S00000X Clinical Nurse Specialist
(Licence: IL  041338732)
Enumeration Date2014-10-03
Last Update Date2014-10-03
Business Address
-- CARISSA GORHAM
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-3000
Mailing Address
-- CARISSA GORHAM
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-3000
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