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1104489525
AMBER KRYSTENE SHAPPARD
ROCKFORD, IL
NPI
1104489525
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-04-22
Last Update Date
2019-04-22
Business Address
AMBER KRYSTENE SHAPPARD
1601 UNIVERSITY DR
ROCKFORD, IL 61107-5317
Phone number: 815-391-1000
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Mailing Address
AMBER KRYSTENE SHAPPARD
1021 N MULFORD RD
ROCKFORD, IL 61107-3877
Phone number:
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