MARLA JO VANVICKLE

ROCKFORD, IL
NPI1730777145
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209021926)
Enumeration Date2021-01-02
Last Update Date2022-04-13
Business Address
Mrs. MARLA JO VANVICKLE APN
4215 NEWBURG RD
ROCKFORD, IL 61108-6479
Phone number: 815-988-8500
Mailing Address
Mrs. MARLA JO VANVICKLE APN
4215 NEWBURG RD
ROCKFORD, IL 61108-6479
Phone number: 815-988-8500
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