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1760782650
TERESA WHITLATCH
CHAMPAIGN, IL
NPI
1760782650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.008408)
Enumeration Date
2010-10-26
Last Update Date
2014-12-30
Business Address
Ms. TERESA WHITLATCH APN FNP-BC
410 E UNIVERSITY AVE SUITE 200
CHAMPAIGN, IL 61820-3873
Phone number: 217-352-9755
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Mailing Address
Ms. TERESA WHITLATCH APN FNP-BC
410 E UNIVERSITY AVE SUITE 200
CHAMPAIGN, IL 61820-3873
Phone number: 217-352-9755
Copy
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