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1114929452
ELIZABETH SUE JENNINGS-PORTER
PERU, IL
NPI
1114929452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: IL 209-000734)
Enumeration Date
2005-06-01
Last Update Date
2007-07-08
Business Address
Mrs. ELIZABETH SUE JENNINGS-PORTER CNM
2220 MARQUETTE RD
PERU, IL 61354-1538
Phone number: 815-220-0260
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Mailing Address
Mrs. ELIZABETH SUE JENNINGS-PORTER CNM
2220 MARQUETTE RD
PERU, IL 61354-1538
Phone number: 815-220-0260
Copy
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