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1306427893
TRENT LEDBETTER
PEORIA, IL
NPI
1306427893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 036165892)
Enumeration Date
2021-04-16
Last Update Date
2023-07-27
Business Address
TRENT LEDBETTER DO
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2109
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Mailing Address
TRENT LEDBETTER DO
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2109
Copy
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