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1386665966
LISA R. EMM
BLOOMINGTON, IL
NPI
1386665966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IL 036-115642)
Enumeration Date
2006-07-21
Last Update Date
2014-11-12
Business Address
-- LISA R. EMM MD
2304 STERN DR
BLOOMINGTON, IL 61704-4406
Phone number: 309-663-0411
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Mailing Address
-- LISA R. EMM MD
2304 STERN DR
BLOOMINGTON, IL 61704-4406
Phone number: 309-663-0411
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