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1659407088
PEGGI J WHITE
URBANA, IL
NPI
1659407088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209000329)
Enumeration Date
2007-02-27
Last Update Date
2014-05-16
Business Address
-- PEGGI J WHITE NP
204 WEST UNIVERSITY CARLE ADDICTION RECOVERY CENTER
URBANA, IL 61801
Phone number: 217-383-6039
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Mailing Address
-- PEGGI J WHITE NP
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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