JOHN R SODERSTROM

PEORIA, IL
NPI1871506931
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2006-08-13
Last Update Date2007-07-08
Business Address
JOHN R SODERSTROM P.A.
4909 N GLEN PARK PLACE RD
PEORIA, IL 61614-4676
Phone number: 309-674-7546
Mailing Address
JOHN R SODERSTROM P.A.
4909 N GLEN PARK PLACE RD
PEORIA, IL 61614-4676
Phone number: 309-674-7546
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