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1154942357
TPS FACILITY LLC
ROCKFORD, IL
NPI
1154942357
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Entity Type
Organization
Authorized Contact
LANDON PRYOR
Provider
815-977-4403
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2020-04-29
Last Update Date
2020-04-29
Business Address
TPS FACILITY LLC
5995 SPRING CREEK RD
ROCKFORD, IL 61114-6481
Phone number: 815-977-4403
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Mailing Address
TPS FACILITY LLC
5995 SPRING CREEK RD
ROCKFORD, IL 61114-6481
Phone number:
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