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1699262550
LORI FARRIS
PEORIA, IL
NPI
1699262550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209017458)
Enumeration Date
2018-04-17
Last Update Date
2018-04-17
Business Address
LORI FARRIS
900 MAIN ST STE 100
PEORIA, IL 61602-5003
Phone number: 309-671-7772
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Mailing Address
LORI FARRIS
900 MAIN ST STE 100
PEORIA, IL 61602-5003
Phone number: 309-671-7772
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