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1205106341
ERICA S COOK
ROCKFORD, IL
NPI
1205106341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209009291)
Enumeration Date
2012-01-06
Last Update Date
2018-07-23
Business Address
ERICA S COOK APN
1340 CHARLES ST SUITE 400
ROCKFORD, IL 61104
Phone number: 779-696-9512
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Mailing Address
ERICA S COOK APN
PO BOX 78866
MILWAUKEE, WI 53278-8866
Phone number: 779-696-7150
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