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1194818732
SCOTT BLANK
PEORIA, IL
NPI
1194818732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 164003920)
Enumeration Date
2006-10-02
Last Update Date
2007-07-09
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
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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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