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1497312672
HALEIGH D WADSWORTH
CHAMPAIGN, IL
NPI
1497312672
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Former Name
HALEIGH NESBITT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209019221)
Enumeration Date
2019-05-23
Last Update Date
2019-05-23
Business Address
HALEIGH D WADSWORTH APN
2718 N PROSPECT AVE
CHAMPAIGN, IL 61822-1298
Phone number: 217-337-3852
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Mailing Address
HALEIGH D WADSWORTH APN
2718 N PROSPECT AVE
CHAMPAIGN, IL 61822-1298
Phone number: 217-337-3852
Copy
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