SCOTT BLANK

PEORIA, IL
NPI1194818732
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164003920)
Enumeration Date2006-10-02
Last Update Date2007-07-09
Business Address
-- SCOTT BLANK M.S., R.D., L.D.N.
5409 NORTH KNOXVILLE AVE. PROCTOR HOSPITAL
PEORIA, IL 61614
Phone number: 309-691-1056
Mailing Address
-- SCOTT BLANK M.S., R.D., L.D.N.
5409 NORTH KNOXVILLE AVE. PROCTOR HOSPITAL
PEORIA, IL 61614
Phone number: 309-691-1056
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