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1669410981
DEVENDRA V TRIVEDI
PEORIA, IL
NPI
1669410981
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IL 036084047)
Enumeration Date
2006-06-02
Last Update Date
2012-08-13
Business Address
-- DEVENDRA V TRIVEDI M.D.
221 NE GLEN OAK AVE
PEORIA, IL 61636-0001
Phone number: 309-672-4919
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Mailing Address
-- DEVENDRA V TRIVEDI M.D.
PO BOX 60070
N CHARLESTON, SC 29419-0070
Phone number: 866-759-4528
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