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1356068415
PAIGE MEDEARIS
ROCKFORD, IL
NPI
1356068415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209026148)
Enumeration Date
2022-10-20
Last Update Date
2022-10-20
Business Address
PAIGE MEDEARIS NP
401 ROXBURY RD
ROCKFORD, IL 61107-5078
Phone number: 815-397-7340
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Mailing Address
PAIGE MEDEARIS NP
401 ROXBURY RD
ROCKFORD, IL 61107-5078
Phone number: 815-397-7340
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