BOMINA OTTO

URBANA, IL
NPI1922833615
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: IL  209030394)
Enumeration Date2024-09-03
Last Update Date2024-12-27
Business Address
BOMINA OTTO APRN
611 W PARK ST
URBANA, IL 61801-2501
Phone number: 217-383-3311
Mailing Address
BOMINA OTTO APRN
611 W PARK FAPC
URBANA, IL 61802
Phone number: 217-902-6954
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