CHRISTINE ELIZABETH LARSON

ROCKFORD, IL
NPI1285668723
Former NameCHRISTINE ELIZABETH NEWSWANDER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085001548)
Enumeration Date2006-07-10
Last Update Date2007-07-08
Business Address
-- CHRISTINE ELIZABETH LARSON PA
6830 VILLAGREEN VW
ROCKFORD, IL 61107-5639
Phone number: 815-282-1339
Mailing Address
-- CHRISTINE ELIZABETH LARSON PA
6830 VILLAGREEN VW
ROCKFORD, IL 61107-5639
Phone number: 815-282-1339
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