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1518661909
AMANDA YATES
ROCKFORD, IL
NPI
1518661909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209026984)
Enumeration Date
2023-03-29
Last Update Date
2023-03-29
Business Address
AMANDA YATES APRN
1200 W STATE ST
ROCKFORD, IL 61102-2112
Phone number: 815-490-1600
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Mailing Address
AMANDA YATES APRN
1200 W STATE ST
ROCKFORD, IL 61102-2112
Phone number: 815-490-1600
Copy
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