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1699193417
JENNIFER JEAN ROSSOL
ROCKFORD, IL
NPI
1699193417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2014-03-29
Last Update Date
2014-03-29
Business Address
Mrs. JENNIFER JEAN ROSSOL
4019 LATHAM ST
ROCKFORD, IL 61103-1628
Phone number: 815-997-2708
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Mailing Address
Mrs. JENNIFER JEAN ROSSOL
4019 LATHAM ST
ROCKFORD, IL 61103-1628
Phone number: 815-997-2708
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