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1043787419
TERRY LYNN BUNGER
ROCKFORD, IL
NPI
1043787419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: IL 041467941)
Enumeration Date
2018-10-24
Last Update Date
2018-10-24
Business Address
TERRY LYNN BUNGER
3815 HARRISON AVE
ROCKFORD, IL 61108-7631
Phone number: 815-391-1000
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Mailing Address
TERRY LYNN BUNGER
1021 N MULFORD RD
ROCKFORD, IL 61107-3877
Phone number:
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