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1104835768
LEANN B YOUNG
PEORIA, IL
NPI
1104835768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IL 085001383)
Enumeration Date
2006-08-05
Last Update Date
2008-08-19
Business Address
Mrs. LEANN B YOUNG PAC
8600 N ROUTE 91 SUITE 130
PEORIA, IL 61615
Phone number: 309-683-5059
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Mailing Address
Mrs. LEANN B YOUNG PAC
8600 N ROUTE 91 SUITE 130
PEORIA, IL 61615
Phone number: 309-683-5059
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