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1336490333
SUSAN COPP
PEORIA, IL
NPI
1336490333
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209009795)
Enumeration Date
2012-10-01
Last Update Date
2012-10-01
Business Address
-- SUSAN COPP CNP
900 MAIN ST SUITE 600
PEORIA, IL 61602-1005
Phone number: 309-671-8270
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Mailing Address
-- SUSAN COPP CNP
5100 RELIABLE PKWY
CHICAGO, IL 60686-0051
Phone number: 309-672-4809
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