JUSTYNA ANNA KOSCIELNIAK

PEORIA, IL
NPI1902571235
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: IL  209.023771)
Enumeration Date2021-08-10
Last Update Date2021-08-10
Business Address
JUSTYNA ANNA KOSCIELNIAK ACNPC-AG
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 619-779-1392
Mailing Address
JUSTYNA ANNA KOSCIELNIAK ACNPC-AG
2015 TRACY DR APT 3
BLOOMINGTON, IL 61704-7523
Phone number: 619-779-1392
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