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1831427657
GINNY M PETER
WATERLOO, IL
NPI
1831427657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: IL 209007891)
Enumeration Date
2009-12-07
Last Update Date
2019-10-02
Business Address
GINNY M PETER CPNP
224 BRADFORD LN
WATERLOO, IL 62298-3369
Phone number: 618-939-0112
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Mailing Address
GINNY M PETER CPNP
224 BRADFORD LN
WATERLOO, IL 62298-3369
Phone number:
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