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1336429950
MARY A MARVIN
PEORIA, IL
NPI
1336429950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
364SA2200X Clinical Nurse Specialist, Adult Health
(Licence: IL 041290023)
Enumeration Date
2011-08-26
Last Update Date
2011-08-26
Business Address
Miss MARY A MARVIN ACNS BC
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-671-1539
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Mailing Address
Miss MARY A MARVIN ACNS BC
100 APPELLATE CT
EAST PEORIA, IL 61611-1402
Phone number: 309-698-1195
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