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1629268669
LISA DIEMER
URBANA, IL
NPI
1629268669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IL 041274197)
Enumeration Date
2007-07-26
Last Update Date
2010-12-22
Business Address
Ms. LISA DIEMER CRNA
602 W. UNIVERSITY AVENUE ANESTHESIOLOGY
URBANA, IL 61801
Phone number: 217-383-3141
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Mailing Address
Ms. LISA DIEMER CRNA
P.O. BOX 6002
URBANA, IL 61803-6002
Phone number: 217-326-8300
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