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1245601715
LAUQUYTA NARVITA WILMORE
DECATUR, IL
NPI
1245601715
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-005620)
Enumeration Date
2015-10-09
Last Update Date
2021-10-28
Business Address
LAUQUYTA NARVITA WILMORE PA-C
320 E CENTRAL AVE
DECATUR, IL 62521
Phone number: 217-877-9117
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Mailing Address
LAUQUYTA NARVITA WILMORE PA-C
10852 S AVENUE E
CHICAGO, IL 60617-6748
Phone number: 312-966-9482
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