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Michelle Elizabeth Gary
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1841810793

Michelle Elizabeth Gary is a Student in an Organized Health Care Education/Training Program based in Peoria, IL. Michelle Elizabeth Gary practices in Peoria, IL. The NPI Number for Michelle Elizabeth Gary is 1841810793 and holds a License No. (Illinois).

The current practice location address for Michelle Elizabeth Gary is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 636-236-5803.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841810793
Provider Name
Michelle Elizabeth Gary
Credential
Provider Entity Type
Individual
Gender
Female
Address
530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
Phone Number
636-236-5803
Fax Number
Provider Enumeration Date
04/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
636-236-5803
Fax Number
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
636-236-5803
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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