PHYLLIS JOAN COULTER

BLOOMINGTON, IL
NPI1972674026
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
Enumeration Date2006-11-12
Last Update Date2007-07-09
Business Address
MRS. PHYLLIS JOAN COULTER FNP
318 W WASHINGTON ST
BLOOMINGTON, IL 61701-3875
Phone number: 309-827-4014
Mailing Address
MRS. PHYLLIS JOAN COULTER FNP
19451 TRADE WIND DR
BLOOMINGTON, IL 61704-5727
Phone number: 309-378-4560
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