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1952061103
LAUREN WISEMAN
EAST PEORIA, IL
NPI
1952061103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209023234)
Enumeration Date
2021-12-28
Last Update Date
2023-08-22
Business Address
LAUREN WISEMAN APRN
133 SPINDER DR
EAST PEORIA, IL 61611-0016
Phone number: 309-308-5100
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Mailing Address
LAUREN WISEMAN APRN
133 SPINDER DR
EAST PEORIA, IL 61611-0016
Phone number: 309-308-5100
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