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1215111968
JOAN MOMMER
ROCKFORD, IL
NPI
1215111968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: IL 041205838)
Enumeration Date
2007-12-18
Last Update Date
2007-12-18
Business Address
-- JOAN MOMMER NP
2400 N ROCKTON AVE
ROCKFORD, IL 61103-3655
Phone number: 815-971-5000
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Mailing Address
-- JOAN MOMMER NP
2400 N ROCKTON AVE
ROCKFORD, IL 61103-3655
Phone number: 815-971-5000
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