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1003015447
RYAN EUGENE PARNHAM
PEORIA, IL
NPI
1003015447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209006653)
Enumeration Date
2007-07-16
Last Update Date
2009-03-17
Business Address
Mr. RYAN EUGENE PARNHAM NP-C
530 NE GLEN OAK AVE SUITE 108
PEORIA, IL 61537-3167
Phone number: 309-624-8818
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Mailing Address
Mr. RYAN EUGENE PARNHAM NP-C
530 NE GLEN OAK AVE SUITE 108
PEORIA, IL 61537-3167
Phone number: 309-624-8818
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