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1255430062
SUZANNE E. WANG
ROCKFORD, IL
NPI
1255430062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: IL 209003082)
Enumeration Date
2006-09-21
Last Update Date
2007-07-08
Business Address
Ms. SUZANNE E. WANG N.P., C.N.S.
4940 EAST STATE STREET ROCKFORD VETERANS ADMINISTRATION OUT PATIENT CLINIC
ROCKFORD, IL 61109
Phone number: 815-227-0081
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Mailing Address
Ms. SUZANNE E. WANG N.P., C.N.S.
3142 CARRIAGE TRAIL ROAD
ROCKFORD, IL 61109
Phone number: 815-874-3924
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