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1659757847
JENNIFER LIEB
CHAMPAIGN, IL
NPI
1659757847
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Former Name
JENNIFER IRLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209013008)
Enumeration Date
2015-08-11
Last Update Date
2019-04-23
Business Address
JENNIFER LIEB NP
3105 FIELDS SOUTH DR
CHAMPAIGN, IL 61822-3743
Phone number: 217-902-7527
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Mailing Address
JENNIFER LIEB NP
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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