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1811770654
CODY J MEYER
MATTOON, IL
NPI
1811770654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.028075)
Enumeration Date
2023-08-16
Last Update Date
2023-10-13
Business Address
CODY J MEYER APRN
1005 HEALTH CENTER DR STE 100
MATTOON, IL 61938-4637
Phone number: 217-258-4006
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Mailing Address
CODY J MEYER APRN
PO BOX 372
MATTOON, IL 61938-0372
Phone number: 217-868-2812
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