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1720159577
LISA PHILLIPS
PEORIA, IL
NPI
1720159577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IL 036-067749)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
-- LISA PHILLIPS
320 E ARMSTRONG AVE
PEORIA, IL 61603-3172
Phone number: 309-624-9690
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Mailing Address
-- LISA PHILLIPS
320 E ARMSTRONG AVE
PEORIA, IL 61603-3172
Phone number: 309-624-9690
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