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1720092281
KELLY M GEORGE
PEORIA, IL
NPI
1720092281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 164-003717)
Enumeration Date
2006-07-28
Last Update Date
2007-07-08
Business Address
-- KELLY M GEORGE R.D.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-4600
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Mailing Address
-- KELLY M GEORGE R.D.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2000
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