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1639215312
KWABENA A BOATENG
PEORIA, IL
NPI
1639215312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IL 036084514)
Enumeration Date
2007-01-29
Last Update Date
2020-08-28
Business Address
KWABENA A BOATENG MD
2321 N WISCONSIN AVE
PEORIA, IL 61603-5613
Phone number: 309-680-7600
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Mailing Address
KWABENA A BOATENG MD
2214 N UNIVERSITY ST
PEORIA, IL 61604-3221
Phone number: 309-680-7669
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