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1083460638
SHARA KENNEDY CORVERA
ROCKFORD, IL
NPI
1083460638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019.035344)
Enumeration Date
2024-04-25
Last Update Date
2024-10-21
Business Address
SHARA KENNEDY CORVERA DDS
1301 N ALPINE RD
ROCKFORD, IL 61107-2262
Phone number: 815-397-4280
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Mailing Address
SHARA KENNEDY CORVERA DDS
1301 N ALPINE RD
ROCKFORD, IL 61107-2262
Phone number: 815-397-4280
Copy
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