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1093266108
AMANDA NEUDORF
PEORIA, IL
NPI
1093266108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209014859)
Enumeration Date
2016-10-24
Last Update Date
2016-10-24
Business Address
-- AMANDA NEUDORF NP
3915 BARRING TRCE
PEORIA, IL 61615-2500
Phone number: 309-689-3030
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Mailing Address
-- AMANDA NEUDORF NP
3915 BARRING TRCE
PEORIA, IL 61615-2500
Phone number: 309-689-3030
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