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1326154188
MARIA LENNIE BAISA
CHAMPAIGN, IL
NPI
1326154188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036-090566)
Enumeration Date
2006-08-22
Last Update Date
2014-11-03
Business Address
Dr. MARIA LENNIE BAISA M.D.
1801 WINDSOR RD
CHAMPAIGN, IL 61822-6217
Phone number: 217-366-6104
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Mailing Address
Dr. MARIA LENNIE BAISA M.D.
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3909
Phone number: 217-366-6104
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