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Individual
KELSIE LYNN AVANTS
Active
Individual
KELSIE LYNN AVANTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036144025
IL
208000000X
Pediatrics Physician
Primary
036144025
IL
Other
Enumeration date
03/19/2013
Last updated
11/17/2017
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