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1134758758
ELLEN R LESKOVISEK
URBANA, IL
NPI
1134758758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209018685)
Enumeration Date
2020-04-06
Last Update Date
2020-04-06
Business Address
ELLEN R LESKOVISEK
611 W. PARK ST.
URBANA, IL 61801
Phone number: 217-383-3610
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Mailing Address
ELLEN R LESKOVISEK
611 W. PARK ST. FAPC
URBANA, IL 61801
Phone number:
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