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Individual

DESERAY EVE AGUIRRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
612 N 11TH ST, QUINCY, IL 62301-2662
(217) 224-9484
(217) 224-7950
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
(217) 545-2101

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.164931
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/31/2020
Last updated
07/20/2023
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