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1386022168
VALERIE M. MCCANNON
ROCKFORD, IL
NPI
1386022168
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Former Name
VALERIE M. DAUTERMANN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-005571)
Enumeration Date
2015-05-12
Last Update Date
2023-09-08
Business Address
VALERIE M. MCCANNON PA-C
324 ROXBURY RD
ROCKFORD, IL 61107-5090
Phone number: 815-398-9491
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Mailing Address
VALERIE M. MCCANNON PA-C
PO BOX 735263
CHICAGO, IL 60673-5263
Phone number:
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