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1720066251
HEATHER KONZELMANN
CHAMPAIGN, IL
NPI
1720066251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9103440)
Enumeration Date
2006-01-05
Last Update Date
2014-12-05
Business Address
Ms. HEATHER KONZELMANN PA
1801 WINDSOR RD
CHAMPAIGN, IL 61822-6217
Phone number: 217-366-8130
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Mailing Address
Ms. HEATHER KONZELMANN PA
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3909
Phone number: 217-366-8107
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