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1467700401
JESSICA GALLAGHER
ROCKFORD, IL
NPI
1467700401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043-104419)
Enumeration Date
2012-08-23
Last Update Date
2020-02-19
Business Address
JESSICA GALLAGHER LPN
3815 HARRISON AVE
ROCKFORD, IL 61108-7631
Phone number: 815-391-1000
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Mailing Address
JESSICA GALLAGHER LPN
3815 HARRISON AVE
ROCKFORD, IL 61108-7631
Phone number: 815-391-1000
Copy
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