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1699313825
SHANA ROUSHIA
ROCKFORD, IL
NPI
1699313825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 277.002439)
Enumeration Date
2019-12-18
Last Update Date
2023-01-24
Business Address
SHANA ROUSHIA FPA, APN, FNP-C
4215 NEWBURG RD
ROCKFORD, IL 61108-6479
Phone number: 815-988-8500
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Mailing Address
SHANA ROUSHIA FPA, APN, FNP-C
4215 NEWBURG RD
ROCKFORD, IL 61108-6479
Phone number: 815-988-8500
Copy
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