LEEANN PETAK

DECATUR, IL
NPI1912159740
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209.007167)
Enumeration Date2008-10-10
Last Update Date2023-01-27
Business Address
Ms. LEEANN PETAK CRNA
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number: 217-876-8121
Mailing Address
Ms. LEEANN PETAK CRNA
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number: 217-876-8121
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