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1083180228
ANDREA M SHEWALTER
ROCKFORD, IL
NPI
1083180228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 041351530)
Enumeration Date
2018-10-15
Last Update Date
2018-10-15
Business Address
Mrs. ANDREA M SHEWALTER APRN
535 ROXBURY RD
ROCKFORD, IL 61107-5076
Phone number: 815-387-1717
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Mailing Address
Mrs. ANDREA M SHEWALTER APRN
11189 JASMINE DR
ROSCOE, IL 61073-9410
Phone number: 815-501-3115
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