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1346621257
RYAN PEDDY
URBANA, IL
NPI
1346621257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 125.066971)
Enumeration Date
2015-06-16
Last Update Date
2015-06-17
Business Address
-- RYAN PEDDY
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-3170
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Mailing Address
-- RYAN PEDDY
1905 N LINCOLN AVE APT 122
URBANA, IL 61801-1012
Phone number:
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