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Individual

ALAINA M TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1001 MAIN ST STE 200, PEORIA, IL 61606-2035
(309) 308-2010
(309) 671-2167
Mailing address
1001 MAIN ST STE 200, PEORIA, IL 61606-2035
(309) 308-2010
(309) 671-2167

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041399844
IL
363L00000X
Nurse Practitioner
Primary
209018079
IL

Other

Enumeration date
05/15/2018
Last updated
09/15/2018
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