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1881259943
KATHERINE ELLINGSON
PEORIA, IL
NPI
1881259943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: IL 209.019388)
Enumeration Date
2019-05-04
Last Update Date
2019-05-04
Business Address
KATHERINE ELLINGSON AG-ACNP-BC
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2000
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Mailing Address
KATHERINE ELLINGSON AG-ACNP-BC
520 WITHERSPOON DR
SPRINGFIELD, IL 62704-1423
Phone number: 651-336-6010
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