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1639429855
DANIELLE JORDAL
ROCKFORD, IL
NPI
1639429855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209-009786)
Enumeration Date
2012-09-14
Last Update Date
2015-07-01
Business Address
Mrs. DANIELLE JORDAL APN
1340 CHARLES ST STE 300
ROCKFORD, IL 61104-2200
Phone number: 779-696-5888
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Mailing Address
Mrs. DANIELLE JORDAL APN
PO BOX 1567
ROCKFORD, IL 61110-0067
Phone number:
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