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1003524554
ELISSA MORALES-VILLANUEVA
ROCKFORD, IL
NPI
1003524554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2022-11-14
Last Update Date
2023-10-04
Business Address
ELISSA MORALES-VILLANUEVA MAT, ATC
5620 SPRING CREEK RD
ROCKFORD, IL 61114-6442
Phone number: 815-654-4870
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Mailing Address
ELISSA MORALES-VILLANUEVA MAT, ATC
2005 GRENSHAW ST
ROCKFORD, IL 61101-4234
Phone number: 815-668-3544
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