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1194355867
ANDREW WALTERS
ROCKFORD, IL
NPI
1194355867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: IL 041417411)
Enumeration Date
2020-01-22
Last Update Date
2020-01-22
Business Address
ANDREW WALTERS
3815 HARRISON AVE
ROCKFORD, IL 61108-7631
Phone number: 815-391-1000
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Mailing Address
ANDREW WALTERS
3815 HARRISON AVE
ROCKFORD, IL 61108-7631
Phone number: 815-391-1000
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