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1285047977
DEEPAK REDDY
PEORIA, IL
NPI
1285047977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: IL 125.065083)
Enumeration Date
2014-06-10
Last Update Date
2014-06-10
Business Address
-- DEEPAK REDDY
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2702
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Mailing Address
-- DEEPAK REDDY
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2702
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