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1225108855
SHAOTSENG LEE
PEORIA, IL
NPI
1225108855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036-093002)
Enumeration Date
2006-11-09
Last Update Date
2007-12-05
Business Address
-- SHAOTSENG LEE
200 E PENNSYLVANIA AVE
PEORIA, IL 61603-3089
Phone number: 309-655-7801
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Mailing Address
-- SHAOTSENG LEE
200 E PENNSYLVANIA AVE
PEORIA, IL 61603-3089
Phone number: 309-655-7801
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