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1679516561
MELINDA HENDERSON
PEORIA, IL
NPI
1679516561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: IL 209001122)
Enumeration Date
2006-06-14
Last Update Date
2007-07-08
Business Address
-- MELINDA HENDERSON C-FNP
7801 N KNOXVILLE AVE
PEORIA, IL 61614-2076
Phone number: 309-692-6088
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Mailing Address
-- MELINDA HENDERSON C-FNP
5100 RELIABLE PARKWAY
CHICAGO, IL 60686-0001
Phone number: 309-692-6088
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