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1851548598
MARY K DAVIS
EAST PEORIA, IL
NPI
1851548598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209006024)
Enumeration Date
2008-08-25
Last Update Date
2011-12-16
Business Address
-- MARY K DAVIS NP
300 N MAIN ST
EAST PEORIA, IL 61611-2016
Phone number: 866-825-3227
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Mailing Address
-- MARY K DAVIS NP
PO BOX 6004
URBANA, IL 61803-6004
Phone number: 217-383-6792
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