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1134560139
MICAH BOEHR
PEORIA, IL
NPI
1134560139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 125063015)
Enumeration Date
2013-07-08
Last Update Date
2013-07-08
Business Address
-- MICAH BOEHR MD
815 MAIN ST
PEORIA, IL 61602-1076
Phone number: 309-672-4977
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Mailing Address
-- MICAH BOEHR MD
815 MAIN ST
PEORIA, IL 61602-1076
Phone number: 309-672-4977
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