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1033192927
GORDON EGGERS
ROCKFORD, IL
NPI
1033192927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 0085000278)
Enumeration Date
2005-11-23
Last Update Date
2007-07-09
Business Address
-- GORDON EGGERS
1200 W STATE ST
ROCKFORD, IL 61102-2112
Phone number: 815-490-1600
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Mailing Address
-- GORDON EGGERS
10729 WHISPERING PINES WAY
ROCKFORD, IL 61114-6843
Phone number: 815-885-1334
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