SASHA MIRANDA POWELL

DANVILLE, IL
NPI1487942033
Former NameSASHA MIRANDA PRYER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209008912)
Enumeration Date2011-07-18
Last Update Date2021-07-08
Business Address
SASHA MIRANDA POWELL FNP-BC
3545 N VERMILION ST
DANVILLE, IL 61832-1100
Phone number: 217-442-8611
Mailing Address
SASHA MIRANDA POWELL FNP-BC
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3909
Phone number: 217-366-1326
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