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1366576647
MELISSA TATE
URBANA, IL
NPI
1366576647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP1700X Nurse Practitioner, Perinatal
(Licence: IL 209004644)
Enumeration Date
2007-03-16
Last Update Date
2014-05-14
Business Address
-- MELISSA TATE NP
611 W. PARK ST.
URBANA, IL 61801-2500
Phone number: 217-383-3311
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Mailing Address
-- MELISSA TATE NP
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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