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1518633155
GREG MYER
ROCKFORD, IL
NPI
1518633155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209023686)
Enumeration Date
2021-08-23
Last Update Date
2022-09-26
Business Address
GREG MYER N.P
1401 E STATE ST
ROCKFORD, IL 61104-2298
Phone number: 779-696-0400
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Mailing Address
GREG MYER N.P
3684 VALERIE RD
ROSCOE, IL 61073-8916
Phone number: 815-540-6323
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