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1285045013
MELINDA LUCILLE LANGE
PEORIA, IL
NPI
1285045013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
364SA2200X Clinical Nurse Specialist, Adult Health
(Licence: IL 209011332)
Enumeration Date
2014-05-14
Last Update Date
2014-05-14
Business Address
Miss MELINDA LUCILLE LANGE Advanced PracticeNur
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2000
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Mailing Address
Miss MELINDA LUCILLE LANGE Advanced PracticeNur
104 BARBARA ST
EAST PEORIA, IL 61611-4591
Phone number: 309-258-1783
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