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1063953016
CHRISTINA R POWELL
ROCKFORD, IL
NPI
1063953016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.015393)
Enumeration Date
2017-03-10
Last Update Date
2018-10-12
Business Address
CHRISTINA R POWELL NP-C
1401 E STATE ST
ROCKFORD, IL 61104-2315
Phone number: 414-290-6720
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Mailing Address
CHRISTINA R POWELL NP-C
111 E WISCONSIN AVE STE 2000
MILWAUKEE, WI 53202-4809
Phone number: 414-290-6720
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