ERICA M DEFORD

PEORIA, IL
NPI1306020334
Former NameERICA M PLATTNER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IL  085003126)
Enumeration Date2007-12-27
Last Update Date2009-10-02
Business Address
-- ERICA M DEFORD PA
2805 N KNOXVILLE AVE
PEORIA, IL 61604-2869
Phone number: 309-624-9400
Mailing Address
-- ERICA M DEFORD PA
2805 N KNOXVILLE AVE
PEORIA, IL 61604-2869
Phone number: 309-624-9400
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