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1023037173
KRISTINE S ANDERSON
CHAMPAIGN, IL
NPI
1023037173
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Former Name
KRISTINE M SANKOVITCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WA PA10004827)
Enumeration Date
2006-07-19
Last Update Date
2014-05-08
Business Address
-- KRISTINE S ANDERSON PA
1802 S MATTIS AVE
CHAMPAIGN, IL 61821-5923
Phone number: 217-383-3260
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Mailing Address
-- KRISTINE S ANDERSON PA
611 W. PARK ST.
URBANA, IL 61801-2500
Phone number: 217-383-6941
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