SANDRA A FADER

BLOOMINGTON, IL
NPI1467961706
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209016547)
Enumeration Date2017-09-28
Last Update Date2022-07-21
Business Address
Mrs. SANDRA A FADER APN
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704-8112
Phone number: 309-663-6461
Mailing Address
Mrs. SANDRA A FADER APN
611 W. PARK ST FAPC
URBANA, IL 61801
Phone number:
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