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1235687989
JODY GOSNELL
ROCKFORD, IL
NPI
1235687989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209014640)
Enumeration Date
2016-09-12
Last Update Date
2017-07-06
Business Address
-- JODY GOSNELL APN
2222 E STATE ST STE 209
ROCKFORD, IL 61104-1572
Phone number: 815-988-8500
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Mailing Address
-- JODY GOSNELL APN
2222 E STATE ST STE 209
ROCKFORD, IL 61104-1572
Phone number: 815-988-8500
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