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1174616411
SHILPA MEHTA
BLOOMINGTON, IL
NPI
1174616411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036-110523)
Enumeration Date
2006-10-01
Last Update Date
2014-03-06
Business Address
SHILPA MEHTA
1505 EASTLAND DR
BLOOMINGTON, IL 61701-3534
Phone number: 309-663-2100
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Mailing Address
SHILPA MEHTA
1505 EASTLAND DR
BLOOMINGTON, IL 61701-3534
Phone number: 309-663-2100
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