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1831279744
ANASTACIA MALDONADO
CHAMPAIGN, IL
NPI
1831279744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RR0500X Internal Medicine, Rheumatology
(Licence: IL 036116939)
Enumeration Date
2006-10-16
Last Update Date
2014-05-07
Business Address
-- ANASTACIA MALDONADO MD
1813 W KIRBY AVE
CHAMPAIGN, IL 61821-5410
Phone number: 217-383-3131
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Mailing Address
-- ANASTACIA MALDONADO MD
611 W PARK ST BWPC
URBANA, IL 61801-2529
Phone number: 217-383-6792
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