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1033262522
MARY S MATHER
ROCKFORD, IL
NPI
1033262522
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Former Name
MARY S KNOBLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: IL 209005670)
Enumeration Date
2007-01-19
Last Update Date
2007-07-08
Business Address
-- MARY S MATHER CNM
5970 CHURCHVIEW DR
ROCKFORD, IL 61107-2574
Phone number: 815-971-2000
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Mailing Address
-- MARY S MATHER CNM
5970 CHURCHVIEW DR
ROCKFORD, IL 61107-2574
Phone number: 815-971-2000
Copy
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