TINA WHITE

PEORIA, IL
NPI1851333819
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: IL  041231612)
Enumeration Date2006-06-12
Last Update Date2007-07-08
Business Address
-- TINA WHITE FNP
1419 S FOLKERS AVE
PEORIA, IL 61605-1356
Phone number: 309-676-7803
Mailing Address
-- TINA WHITE FNP
5100 RELIABLE PARKWAY
CHICAGO, IL 60686-0001
Phone number: 309-676-7803
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