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1225586514
TRACI DIGVONNI
ROCKFORD, IL
NPI
1225586514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: IL 209014851)
Enumeration Date
2016-09-14
Last Update Date
2019-08-14
Business Address
TRACI DIGVONNI FNP
1200 W STATE ST
ROCKFORD, IL 61102-2112
Phone number: 815-490-1600
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Mailing Address
TRACI DIGVONNI FNP
1200 W STATE ST
ROCKFORD, IL 61102-2112
Phone number: 815-490-1600
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