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1083047401
PAUL STUART MOOTS
PEORIA, IL
NPI
1083047401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 125064267)
Enumeration Date
2013-08-21
Last Update Date
2013-08-21
Business Address
-- PAUL STUART MOOTS MD
929 W LOIRE CT APT 1211
PEORIA, IL 61614-1850
Phone number: 217-825-4072
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Mailing Address
-- PAUL STUART MOOTS MD
929 W. LOIRE CT APT 1211
PEORIA, IL 61614
Phone number: 217-825-4072
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