REBECCA ULTCH

PEORIA, IL
NPI1821054297
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IL  085002060)
Enumeration Date2006-04-25
Last Update Date2007-10-11
Business Address
-- REBECCA ULTCH PA
7309 N KNOXVILLE AVE
PEORIA, IL 61614-2085
Phone number: 309-692-9898
Mailing Address
-- REBECCA ULTCH PA
7309 N KNOXVILLE AVE
PEORIA, IL 61614-2085
Phone number: 309-692-9898
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