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1841216132
KELLY M. COLLET
PEORIA, IL
NPI
1841216132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 164-003939)
Enumeration Date
2006-07-14
Last Update Date
2007-07-08
Business Address
-- KELLY M. COLLET R.D.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-4048
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Mailing Address
-- KELLY M. COLLET R.D.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2000
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