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1336339597
VIMAL MASTER SANKAR RAJ
PEORIA, IL
NPI
1336339597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0210X Pediatrics, Pediatric Nephrology
(Licence: IL 036133119)
Enumeration Date
2007-07-25
Last Update Date
2016-04-27
Business Address
Dr. VIMAL MASTER SANKAR RAJ MD
530 NE GLEN OAK AVE
PEORIA, IL 61637-3105
Phone number: 309-624-8884
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Mailing Address
Dr. VIMAL MASTER SANKAR RAJ MD
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-624-8884
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