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1154978740
ANGELA VLIET
URBANA, IL
NPI
1154978740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209019800)
Enumeration Date
2019-08-20
Last Update Date
2019-08-20
Business Address
ANGELA VLIET NP
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-4930
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Mailing Address
ANGELA VLIET NP
611 W PARK ST
URBANA, IL 61801-2529
Phone number:
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