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1124256854
ELLEN THERESE HAAS
PEORIA, IL
NPI
1124256854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IL 125.056269)
Enumeration Date
2009-07-01
Last Update Date
2009-07-01
Business Address
Dr. ELLEN THERESE HAAS M.D.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2000
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Mailing Address
Dr. ELLEN THERESE HAAS M.D.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2000
Copy
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