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1215998646
STEPHANIE E TATE
NORMAL, IL
NPI
1215998646
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036077896)
Enumeration Date
2006-03-28
Last Update Date
2023-03-07
Business Address
-- STEPHANIE E TATE MD
COLLEGE AND UNIVERSITY 2540
NORMAL, IL 61790-2540
Phone number: 309-438-2956
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Mailing Address
-- STEPHANIE E TATE MD
COLLEGE AND UNIVERSITY 2540
NORMAL, IL 61790-2540
Phone number: 309-438-2956
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