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1639836406
EMPOWERME NP, LLC
BLOOMINGTON, IL
NPI
1639836406
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Entity Type
Organization
Authorized Contact
JOHN DAVID CHURCH
Vice President Finance
618-972-5228
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2021-11-29
Last Update Date
2021-11-29
Business Address
EMPOWERME NP, LLC
1815 N TOWANDA BARNES RD
BLOOMINGTON, IL 61705-2802
Phone number: 844-502-7996
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Mailing Address
EMPOWERME NP, LLC
1335 STRASSNER DR
BRENTWOOD, MO 63144-1872
Phone number: 844-502-7996
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