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1407584220
MARIELA GOMEZ
SPRINGFIELD, IL
NPI
1407584220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: IL 041472630)
Enumeration Date
2022-08-10
Last Update Date
2022-08-10
Business Address
MARIELA GOMEZ CRNA
701 N 1ST ST
SPRINGFIELD, IL 62781-0001
Phone number: 217-788-3000
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Mailing Address
MARIELA GOMEZ CRNA
PO BOX 3428
SPRINGFIELD, IL 62708-3428
Phone number: 217-788-3000
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