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1225411325
SAMANTHA A MOOBERRY
PEORIA, IL
NPI
1225411325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-005497)
Enumeration Date
2015-07-07
Last Update Date
2019-02-26
Business Address
Mrs. SAMANTHA A MOOBERRY PA-C
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-624-8818
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Mailing Address
Mrs. SAMANTHA A MOOBERRY PA-C
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-624-8818
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