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1629687041
ALLAN VEGA
DANVILLE, IL
NPI
1629687041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209021570)
Enumeration Date
2020-07-31
Last Update Date
2020-08-17
Business Address
ALLAN VEGA APRN, CNP
311 W FAIRCHILD ST
DANVILLE, IL 61832-3876
Phone number: 217-431-7888
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Mailing Address
ALLAN VEGA APRN, CNP
611 W PARK ST FAPC
URBANA, IL 61801
Phone number:
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