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1558830851
COURTNEY D EDSALL
PEORIA, IL
NPI
1558830851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.018452)
Enumeration Date
2018-11-15
Last Update Date
2019-06-27
Business Address
Mrs. COURTNEY D EDSALL APRN
112 NE CRESCENT AVE
PEORIA, IL 61606-1901
Phone number: 309-672-4670
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Mailing Address
Mrs. COURTNEY D EDSALL APRN
112 NE CRESCENT AVE
PEORIA, IL 61606-1901
Phone number: 309-672-4670
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