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1144971631
YOHANNES G FRE
ROCKFORD, IL
NPI
1144971631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: WI 10949-33)
Enumeration Date
2022-01-16
Last Update Date
2022-11-25
Business Address
YOHANNES G FRE MSN FNP-BC
816 FEATHERSTONE RD
ROCKFORD, IL 61107-6300
Phone number: 815-227-0081
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Mailing Address
YOHANNES G FRE MSN FNP-BC
816 FEATHERSTONE RD
ROCKFORD, IL 61107-6300
Phone number: 773-216-1445
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