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1497384861
OWEN BREWER
PEORIA, IL
NPI
1497384861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 125.076984)
Enumeration Date
2020-04-07
Last Update Date
2020-06-24
Business Address
Dr. OWEN BREWER MD
530 NE GLEN OAK AVE BLDG 2624
PEORIA, IL 61637-0001
Phone number: 309-655-6710
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Mailing Address
Dr. OWEN BREWER MD
5221 N GLEN ELM DR
PEORIA HEIGHTS, IL 61616-5129
Phone number: 303-601-4108
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