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1588909519
KRISTIN RAE BETZ
HERRIN, IL
NPI
1588909519
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Former Name
KRISTIN RAE FIELD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209009830)
Enumeration Date
2012-12-03
Last Update Date
2021-01-28
Business Address
Mrs. KRISTIN RAE BETZ NP
404 LINCOLN DR
HERRIN, IL 62948
Phone number: 618-993-0056
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Mailing Address
Mrs. KRISTIN RAE BETZ NP
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200
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