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1801379383
SOPHIA HOPE KANNENBERG O' BRYAN
LIBERTYVILLE, IL
NPI
1801379383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-006740)
Enumeration Date
2018-09-11
Last Update Date
2023-08-02
Business Address
SOPHIA HOPE KANNENBERG O' BRYAN PA-C
720 FLORSHEIM DR
LIBERTYVILLE, IL 60048-3757
Phone number: 847-247-4000
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Mailing Address
SOPHIA HOPE KANNENBERG O' BRYAN PA-C
1000 E ROLLINS RD
ROUND LAKE BEACH, IL 60073-2228
Phone number: 847-324-3976
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