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1215249164
MIA SONIA SCHULTZ TANAKA
PEORIA, IL
NPI
1215249164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 125.058312)
Enumeration Date
2010-07-08
Last Update Date
2022-02-11
Business Address
Dr. MIA SONIA SCHULTZ TANAKA DO
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2321
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Mailing Address
Dr. MIA SONIA SCHULTZ TANAKA DO
2408 W RESERVOIR BLVD
PEORIA, IL 61615-4224
Phone number: 925-519-2088
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