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1831168285
JAN K HERSHEY
ROCKFORD, IL
NPI
1831168285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096-000512)
Enumeration Date
2006-03-17
Last Update Date
2007-07-08
Business Address
Ms. JAN K HERSHEY MSEd
5510 E STATE ST
ROCKFORD, IL 61108-2381
Phone number: 815-395-4505
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Mailing Address
Ms. JAN K HERSHEY MSEd
1421 PARKVIEW AVE
ROCKFORD, IL 61107-1819
Phone number: 815-395-4581
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