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JACQUELINE RENEE KAUFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
200 E PENNSYLVANIA AVE, PEORIA, IL 61603-3089
(309) 624-4000
(309) 624-4010
Mailing address
200 E PENNSYLVANIA AVE, PEORIA, IL 61603-3089
(309) 624-4000
(309) 624-4010

Taxonomy

Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
209008724
IL
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
277000296
IL

Other

Enumeration date
03/18/2011
Last updated
11/12/2019
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