SUSAN K FENDLER

ROCKFORD, IL
NPI1376610600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: IL  56006379)
Enumeration Date2006-11-30
Last Update Date2007-07-08
Business Address
Mrs. SUSAN K FENDLER OTR
6822 CUMMINS DR
ROCKFORD, IL 61114-8069
Phone number: 815-579-9543
Mailing Address
Mrs. SUSAN K FENDLER OTR
6822 CUMMINS DR
ROCKFORD, IL 61114-8069
Phone number: 815-579-9543
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