CAROLYN ROTH

BLOOMINGTON, IL
NPI1679609630
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209000155)
Enumeration Date2007-02-26
Last Update Date2009-11-20
Business Address
-- CAROLYN ROTH N.P.
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704-2101
Phone number: 309-664-3038
Mailing Address
-- CAROLYN ROTH N.P.
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704-2101
Phone number: 309-664-3000
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