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1982456752
CHARLES TATE
PEORIA, IL
NPI
1982456752
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-03
Last Update Date
2024-04-03
Business Address
Dr. CHARLES TATE MD
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2109
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Mailing Address
Dr. CHARLES TATE MD
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2109
Copy
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