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1437869054
PHLESIA FORD
ROCK ISLAND, IL
NPI
1437869054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: IA 167495)
Enumeration Date
2022-12-05
Last Update Date
2022-12-05
Business Address
PHLESIA FORD
2701 17TH ST
ROCK ISLAND, IL 61201-5351
Phone number: 309-779-2031
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Mailing Address
PHLESIA FORD
2701 17TH ST
ROCK ISLAND, IL 61201-5351
Phone number: 309-779-2031
Copy
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