AGNES BOEHNING

CENTRALIA, IL
NPI1821134115
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209003194)
Enumeration Date2007-01-30
Last Update Date2011-02-25
Business Address
-- AGNES BOEHNING APN-FNP
819 E MCCORD ST
CENTRALIA, IL 62801-3044
Phone number: 618-533-1313
Mailing Address
-- AGNES BOEHNING APN-FNP
4117 S WATER TOWER PL SUITE D
MOUNT VERNON, IL 62864-6567
Phone number: 618-242-4848
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