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1366077695
REBEKKA J ROOT
PRINCETON, IL
NPI
1366077695
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Former Name
REBEKKA PROKUP
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209020985)
Enumeration Date
2020-03-06
Last Update Date
2020-12-09
Business Address
REBEKKA J ROOT FNP
2128 N MAIN ST
PRINCETON, IL 61356-9728
Phone number: 815-875-2273
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Mailing Address
REBEKKA J ROOT FNP
530 PARK AVENUE EAST
PRINCETON, IL 61356
Phone number: 815-876-2293
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