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1194849117
ELIZABETH DIANE TATE
SPRINGFIELD, IL
NPI
1194849117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209001709)
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
Ms. ELIZABETH DIANE TATE NP
751 N RUTLEDGE ST SUITE 3501
SPRINGFIELD, IL 62702-4909
Phone number: 217-545-7365
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Mailing Address
Ms. ELIZABETH DIANE TATE NP
2808 FINDLEY DR
SPRINGFIELD, IL 62704-5363
Phone number: 217-787-3063
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