LESLIE ANN FERMIN DEPAYSO

URBANA, IL
NPI1699528596
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.028491)
Enumeration Date2024-04-09
Last Update Date2024-04-09
Business Address
LESLIE ANN FERMIN DEPAYSO APRN
611 W PARK ST
URBANA, IL 61801-2501
Phone number: 217-383-3610
Mailing Address
LESLIE ANN FERMIN DEPAYSO APRN
1505 MONTGOMERY ST
URBANA, IL 61802-4742
Phone number: 561-990-9587
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