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1801551593
MARISSA EDELMAN
PEORIA, IL
NPI
1801551593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209.022682)
Enumeration Date
2021-11-08
Last Update Date
2021-11-08
Business Address
MARISSA EDELMAN FNP
5114 N GLEN PARK PLACE RD
PEORIA, IL 61614-4686
Phone number: 309-655-2431
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Mailing Address
MARISSA EDELMAN FNP
217 REABA AVE
CONGERVILLE, IL 61729-9577
Phone number: 309-448-2433
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