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1730104258
JOHN B NIXON
PEORIA, IL
NPI
1730104258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IL 036058548)
Enumeration Date
2006-07-13
Last Update Date
2011-06-21
Business Address
-- JOHN B NIXON
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-624-9011
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Mailing Address
-- JOHN B NIXON
530 NE GLEN OAK AVE
PEORIA, IL 61637
Phone number: 309-624-9011
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