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1235807900
ANGELA M STANLEY
ROCKFORD, IL
NPI
1235807900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 209.023268)
Enumeration Date
2021-08-30
Last Update Date
2021-08-30
Business Address
ANGELA M STANLEY NP
612 ROXBURY RD
ROCKFORD, IL 61107-5089
Phone number: 815-227-8331
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Mailing Address
ANGELA M STANLEY NP
607 S SHABBONA RD
SHABBONA, IL 60550-9785
Phone number: 815-739-7309
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