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1154567964
LEESA E GILLOOLEY
ROCKFORD, IL
NPI
1154567964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085003368)
Enumeration Date
2008-12-29
Last Update Date
2010-06-14
Business Address
Mrs. LEESA E GILLOOLEY PA-C
698 FEATHERSTONE RD
ROCKFORD, IL 61107-6303
Phone number: 815-398-3277
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Mailing Address
Mrs. LEESA E GILLOOLEY PA-C
698 FEATHERSTONE RD
ROCKFORD, IL 61107-6303
Phone number: 815-398-3277
Copy
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