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1295908341
PATRICIA ANN CARPENTER
ROCKFORD, IL
NPI
1295908341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist Optician
(Licence: IL 23903228)
Enumeration Date
2008-04-09
Last Update Date
2008-04-09
Business Address
MRS. PATRICIA ANN CARPENTER
130 N 1ST ST
ROCKFORD, IL 61107-3900
Phone number: 815-965-2989
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Mailing Address
MRS. PATRICIA ANN CARPENTER
130 N 1ST ST
ROCKFORD, IL 61107-3900
Phone number: 815-965-2989
Copy
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