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1841362225
DIANNE MAXWELL
CHAMPAIGN, IL
NPI
1841362225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209001591)
Enumeration Date
2006-11-14
Last Update Date
2015-03-10
Business Address
-- DIANNE MAXWELL NP
1701 W CURTIS ROAD FAMILY MEDICINE/CONVENIENT CARE
CHAMPAIGN, IL 61822
Phone number: 217-365-6203
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Mailing Address
-- DIANNE MAXWELL NP
611 W PARK ST BWPC
URBANA, IL 61801-2529
Phone number: 217-383-6792
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