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1467791194
GALINA E POLEVAYA
SPRINGFIELD, IL
NPI
1467791194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-004595)
Enumeration Date
2013-01-31
Last Update Date
2015-11-06
Business Address
-- GALINA E POLEVAYA PA-C
800 N 1ST ST
SPRINGFIELD, IL 62702-3719
Phone number: 217-528-7541
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Mailing Address
-- GALINA E POLEVAYA PA-C
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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