REBECCA WIGANT

PEORIA, IL
NPI1528318128
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: IL  041346716)
Enumeration Date2012-09-12
Last Update Date2012-09-12
Business Address
-- REBECCA WIGANT APN
5405 N KNOXVILLE AVE
PEORIA, IL 61614-5016
Phone number: 309-691-4410
Mailing Address
-- REBECCA WIGANT APN
5405 N KNOXVILLE AVE
PEORIA, IL 61614-5016
Phone number: 309-691-4410
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