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1407304199
LORI A. DEFREESE
PEORIA, IL
NPI
1407304199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209.014513)
Enumeration Date
2016-09-12
Last Update Date
2016-09-12
Business Address
-- LORI A. DEFREESE APN
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-624-8750
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Mailing Address
-- LORI A. DEFREESE APN
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-624-8750
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