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1710922182
MICHELLE L BERTKE
PEORIA, IL
NPI
1710922182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209-005757)
Enumeration Date
2006-06-18
Last Update Date
2007-07-08
Business Address
-- MICHELLE L BERTKE APN,CNP
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2312
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Mailing Address
-- MICHELLE L BERTKE APN,CNP
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2000
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