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1700809373
TRACY L GROTRIAN
CHAMPAIGN, IL
NPI
1700809373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036110788)
Enumeration Date
2006-07-25
Last Update Date
2013-11-21
Business Address
-- TRACY L GROTRIAN D.O.
1701 W CURTIS ROAD FAMILY MEDICINE/CONVENIENT CARE
CHAMPAIGN, IL 61822
Phone number: 217-365-6201
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Mailing Address
-- TRACY L GROTRIAN D.O.
P.O. BOX 6002
URBANA, IL 61803-6002
Phone number: 217-326-8300
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