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1376891994
JENNIFER MENGEDOHT
ROCKFORD, IL
NPI
1376891994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043-106278)
Enumeration Date
2012-08-29
Last Update Date
2012-08-29
Business Address
-- JENNIFER MENGEDOHT LPN
3815 HARRISON AVE
ROCKFORD, IL 61108-7631
Phone number: 815-391-1000
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Mailing Address
-- JENNIFER MENGEDOHT LPN
1021 N MULFORD RD
ROCKFORD, IL 61107-3877
Phone number: 815-387-5600
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