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1750907861
GINA FERNANDO
ROCKFORD, IL
NPI
1750907861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209021437)
Enumeration Date
2020-06-24
Last Update Date
2024-07-29
Business Address
GINA FERNANDO
4215 NEWBURG RD
ROCKFORD, IL 61108-6479
Phone number: 815-708-0382
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Mailing Address
GINA FERNANDO
4215 NEWBURG RD
ROCKFORD, IL 61108-6479
Phone number: 815-708-0382
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