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1366426397
KENTON LEE
ROCKFORD, IL
NPI
1366426397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036089913)
Enumeration Date
2005-12-02
Last Update Date
2024-06-26
Business Address
Dr. KENTON LEE MD
3775 N MULFORD RD
ROCKFORD, IL 61114-5632
Phone number: 779-696-9202
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Mailing Address
Dr. KENTON LEE MD
1601 PARKVIEW AVE CREDENTIALING S200C
ROCKFORD, IL 61107-1822
Phone number: 815-395-5861
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