MARY ANNE MARTIN

ROCKFORD, IL
NPI1891109070
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  316426)
Enumeration Date2014-06-16
Last Update Date2014-06-16
Business Address
-- MARY ANNE MARTIN LPN
454 N UNIVERSITY DR
ROCKFORD, IL 61107-5323
Phone number: 779-772-5817
Mailing Address
-- MARY ANNE MARTIN LPN
454 N UNIVERSITY DR
ROCKFORD, IL 61107-5323
Phone number: 779-772-5817
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