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1215458187
ELIZABETH L DEDDO
URBANA, IL
NPI
1215458187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209016123)
Enumeration Date
2017-06-30
Last Update Date
2017-06-30
Business Address
ELIZABETH L DEDDO NP
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-3610
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Mailing Address
ELIZABETH L DEDDO NP
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-6941
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