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1972754000
ELIZA J SMITH
MATTOON, IL
NPI
1972754000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209007289)
Enumeration Date
2008-10-07
Last Update Date
2024-11-05
Business Address
ELIZA J SMITH NP
1201 WOODDELL WAY STE B
MATTOON, IL 61938-1014
Phone number: 217-238-3000
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Mailing Address
ELIZA J SMITH NP
PO BOX 372
MATTOON, IL 61938-0372
Phone number:
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