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Individual

JANET RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
1005 NE JEFFERSON AVENUE, PEORIA, IL 61603-4064
(309) 680-7600
(309) 676-5506
Mailing address
1701 W GARDEN ST., PEORIA, IL 61605
(309) 680-7600
(309) 676-5506

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-002041
IL

Other

Enumeration date
09/20/2006
Last updated
08/09/2010
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