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1942783386
KATY WAYNE TINSMAN
PEORIA, IL
NPI
1942783386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209018067)
Enumeration Date
2018-09-12
Last Update Date
2018-09-12
Business Address
KATY WAYNE TINSMAN
2265 W ALTORFER DR
PEORIA, IL 61615-1807
Phone number: 309-370-9323
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Mailing Address
KATY WAYNE TINSMAN
2265 W ALTORFER DR
PEORIA, IL 61615-1807
Phone number: 309-370-9323
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