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1396042990
THERESA M HARRELL
URBANA, IL
NPI
1396042990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085003874)
Enumeration Date
2011-02-16
Last Update Date
2014-09-17
Business Address
-- THERESA M HARRELL PA
1818 E WINDSOR RD OB/GYN
URBANA, IL 61802-9566
Phone number: 217-255-9600
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Mailing Address
-- THERESA M HARRELL PA
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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