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1841709862
BRYCE YANTIS
URBANA, IL
NPI
1841709862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209016631)
Enumeration Date
2017-09-21
Last Update Date
2017-09-21
Business Address
BRYCE YANTIS NP
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-3210
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Mailing Address
BRYCE YANTIS NP
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-6941
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