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1134695281
COURTNEY BRANNAN
ROCKFORD, IL
NPI
1134695281
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Former Name
COURTNEY JENNINGS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209017542)
Enumeration Date
2018-10-16
Last Update Date
2021-03-11
Business Address
COURTNEY BRANNAN APN
3775 N MULFORD RD
ROCKFORD, IL 61114-5632
Phone number: 779-696-9202
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Mailing Address
COURTNEY BRANNAN APN
PO BOX 78866
MILWAUKEE, WI 53278-8866
Phone number: 779-696-7150
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