DEIDRA N BELLM

SPRINGFIELD, IL
NPI1942623665
Former NameDEIDRA N BOENTE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209011233)
Enumeration Date2014-01-31
Last Update Date2020-05-26
Business Address
DEIDRA N BELLM CRNA
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
Mailing Address
DEIDRA N BELLM CRNA
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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