Miranda Alexandria Zerrusen

NPI #1437759586 in Mattoon, Illinois

Provider Information

NPI Number: 1437759586
Entity Type: Individual
Name: Miranda Alexandria Zerrusen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 28, 2020
Last Updated: Oct 28, 2020

Practice Location

Address: 101 DETTRO DR
City: Mattoon
State: Illinois
ZIP Code: 61938-9044
Phone: (172) 586-3132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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