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1033366968
CONNIE SUE HAASE
PEORIA, IL
NPI
1033366968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209007217)
Enumeration Date
2008-08-21
Last Update Date
2008-11-21
Business Address
-- CONNIE SUE HAASE FNP-BC
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-7785
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Mailing Address
-- CONNIE SUE HAASE FNP-BC
1019 BROOKVIEW CT
PEORIA, IL 61615-9717
Phone number: 309-655-7785
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