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1144676735
JENNIFER MARIE LIGHT
PEORIA, IL
NPI
1144676735
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Former Name
JENNIFER MARIE NEWCOME
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NC 219249)
Enumeration Date
2016-05-12
Last Update Date
2023-07-10
Business Address
Dr. JENNIFER MARIE LIGHT M.D.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-624-0917
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Mailing Address
Dr. JENNIFER MARIE LIGHT M.D.
333 S COLUMBIA ST 230 MACNIDER HALL CB #7593
CHAPEL HILL, NC 27599-0001
Phone number: 919-843-9944
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