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1508958307
TRINA SCOTT
PEORIA, IL
NPI
1508958307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036-106359)
Enumeration Date
2006-09-29
Last Update Date
2011-01-13
Business Address
-- TRINA SCOTT
815 MAIN ST
PEORIA, IL 61602-1076
Phone number: 309-672-4977
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Mailing Address
-- TRINA SCOTT
5100 RELIABLE PKWY
CHICAGO, IL 60686-0001
Phone number: 309-672-4809
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