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1508388372
AMBER LEE-ANN KOTH
PEORIA, IL
NPI
1508388372
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 277001734)
Enumeration Date
2017-07-12
Last Update Date
2024-11-29
Business Address
AMBER LEE-ANN KOTH FNP-C
221 NE GLEN OAK AVE
PEORIA, IL 61636-4416
Phone number: 309-672-5500
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Mailing Address
AMBER LEE-ANN KOTH FNP-C
221 NE GLEN OAK AVE
PEORIA, IL 61636-4416
Phone number: 309-672-5500
Copy
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