PEGGY LYNN WAGNER

ROCKFORD, IL
NPI1699932665
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.002671)
Enumeration Date2008-05-19
Last Update Date2008-05-19
Business Address
Ms. PEGGY LYNN WAGNER APN
2850 GLENWOOD AVE REACT
ROCKFORD, IL 61101-3543
Phone number: 815-971-4750
Mailing Address
Ms. PEGGY LYNN WAGNER APN
2820 GLENWOOD AVE REACT
ROCKFORD, IL 61007
Phone number: 815-971-4750
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