EVALYNNE D BASSO

PEORIA, IL
NPI1720759830
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.023675)
Enumeration Date2021-09-28
Last Update Date2021-09-28
Business Address
EVALYNNE D BASSO
601 E TRIPP AVE
PEORIA, IL 61603-1221
Phone number: 309-472-4643
Mailing Address
EVALYNNE D BASSO
601 E TRIPP AVE
PEORIA, IL 61603-1221
Phone number: 309-472-4643
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