TERRY SOPER

DECATUR, IL
NPI1457645145
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209008819)
Enumeration Date2011-05-31
Last Update Date2011-05-31
Business Address
-- TERRY SOPER NP
102 W KENWOOD AVE SUITE 120
DECATUR, IL 62526-4368
Phone number: 217-876-2199
Mailing Address
-- TERRY SOPER NP
102 W KENWOOD AVE SUITE 120
DECATUR, IL 62526-4368
Phone number: 217-876-2199
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