ANGELA M. LONGEVILLE

PERU, IL
NPI1548735988
Former NameANGELA M. WRIGHT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209018462)
Enumeration Date2018-10-12
Last Update Date2019-12-05
Business Address
Mrs. ANGELA M. LONGEVILLE NP
925 WEST ST
PERU, IL 61354-2757
Phone number: 815-223-3300
Mailing Address
Mrs. ANGELA M. LONGEVILLE NP
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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