EMILY R LONG

PEORIA, IL
NPI1356933790
Other NameEMILY R SISTEK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209021894)
Enumeration Date2021-02-08
Last Update Date2021-03-04
Business Address
EMILY R LONG APN
420 NE GLEN OAK AVE STE 401
PEORIA, IL 61603-3112
Phone number: 309-676-8123
Mailing Address
EMILY R LONG APN
420 NE GLEN OAK AVE STE 401
PEORIA, IL 61603-3112
Phone number: 309-676-8123
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