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1154876498
KIMBERLY K LOPEZ
PEORIA, IL
NPI
1154876498
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Former Name
KIMBERLY K PETERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209014626)
Enumeration Date
2016-08-16
Last Update Date
2016-08-16
Business Address
-- KIMBERLY K LOPEZ
5401 N KNOXVILLE AVE SUITE 416
PEORIA, IL 61614-5098
Phone number: 309-692-7246
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Mailing Address
-- KIMBERLY K LOPEZ
5401 N KNOXVILLE AVE SUITE 416
PEORIA, IL 61614-5098
Phone number: 309-692-7246
Copy
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