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1376890376
AMANDA KATHRYN PARKER
PEORIA, IL
NPI
1376890376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-004389)
Enumeration Date
2012-08-08
Last Update Date
2012-08-08
Business Address
-- AMANDA KATHRYN PARKER PAC
900 MAIN ST
PEORIA, IL 61602-1005
Phone number: 309-672-4908
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Mailing Address
-- AMANDA KATHRYN PARKER PAC
900 MAIN ST
PEORIA, IL 61602-1005
Phone number: 309-672-4908
Copy
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