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1346892270
KELLY ANN ROTH
URBANA, IL
NPI
1346892270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 125075293)
Enumeration Date
2019-07-11
Last Update Date
2019-07-11
Business Address
KELLY ANN ROTH MD
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-4633
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Mailing Address
KELLY ANN ROTH MD
611 W PARK ST
URBANA, IL 61801-2529
Phone number:
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