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1891879268
ELLEN R BLOOD
SPRINGFIELD, IL
NPI
1891879268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IL 085-001717)
Enumeration Date
2006-10-24
Last Update Date
2007-07-08
Business Address
-- ELLEN R BLOOD P.A.
747 N RUTLEDGE ST 4TH FLOOR
SPRINGFIELD, IL 62702-6700
Phone number: 217-788-0706
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Mailing Address
-- ELLEN R BLOOD P.A.
PO BOX 19420
SPRINGFIELD, IL 62794-9420
Phone number: 217-788-0706
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