MRS. Laurie Marie Jeans
NPI #1144492257 in Bloomington, Illinois
Provider Information
- NPI Number
- 1144492257
- Entity Type
- Individual
- Name
- MRS. Laurie Marie Jeans
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Mar 28, 2008
- Last Updated
- Mar 28, 2008
Practice Location
- Address
- 2404 E EMPIRE ST
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-3630
- Phone
- (309) 663-8275
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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