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1467858308
KELLY MAE GUZLAS
CHAMPAIGN, IL
NPI
1467858308
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.012016)
Enumeration Date
2014-11-04
Last Update Date
2022-01-06
Business Address
KELLY MAE GUZLAS
3101 FIELDS SOUTH DR
CHAMPAIGN, IL 61822-3743
Phone number: 217-366-6162
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Mailing Address
KELLY MAE GUZLAS
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3981
Phone number: 217-366-6162
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