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1033621594
LAUREN NICOLE RAY
SPRINGFIELD, IL
NPI
1033621594
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Former Name
LAUREN NICOLE BOENTE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085006361)
Enumeration Date
2017-10-24
Last Update Date
2020-11-19
Business Address
LAUREN NICOLE RAY PA-C
800 N 1ST ST
SPRINGFIELD, IL 62702-3719
Phone number: 217-528-7541
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Mailing Address
LAUREN NICOLE RAY PA-C
1025 S 6TH ST
SPRINGFIELD, IL 62703-2499
Phone number: 217-528-7541
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