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1700819463
JAN N UPALAKALIN
PEORIA, IL
NPI
1700819463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IL 036113235)
Enumeration Date
2006-07-08
Last Update Date
2007-10-30
Business Address
-- JAN N UPALAKALIN
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-624-9011
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Mailing Address
-- JAN N UPALAKALIN
10335 N PORT WASHINGTON RD
MEQUON, WI 53092-5763
Phone number:
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