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1760611149
STEPHANIE PAINTER
CHAMPAIGN, IL
NPI
1760611149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IL 085.003473)
Enumeration Date
2009-07-07
Last Update Date
2014-05-08
Business Address
-- STEPHANIE PAINTER PA
1701 CURTIS RD
CHAMPAIGN, IL 61822-9678
Phone number: 217-365-6203
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Mailing Address
-- STEPHANIE PAINTER PA
611 W PARK ST BWPC
URBANA, IL 61801-2529
Phone number: 217-383-6792
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