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1679128730
SAMANTHA ANN BANEY
ROCKFORD, IL
NPI
1679128730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: IL 209.019754)
Enumeration Date
2019-08-06
Last Update Date
2019-08-06
Business Address
SAMANTHA ANN BANEY APRN
2313 N ROCKTON AVE
ROCKFORD, IL 61103-3618
Phone number: 815-964-2200
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Mailing Address
SAMANTHA ANN BANEY APRN
15355 E DEES DR
MONROE CENTER, IL 61052-9747
Phone number: 815-543-0545
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