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1699520932
EDITH KARINA DE SOTO
ROCKFORD, IL
NPI
1699520932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: IL 209.029566)
Enumeration Date
2024-04-19
Last Update Date
2024-04-19
Business Address
EDITH KARINA DE SOTO PMHNP-BC
5225 HARRISON AVE UNIT 7343
ROCKFORD, IL 61126-2405
Phone number: 323-671-8697
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Mailing Address
EDITH KARINA DE SOTO PMHNP-BC
5225 HARRISON AVE UNIT 7343
ROCKFORD, IL 61126-2405
Phone number:
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