STACIA LANGAN SACKMASTER

ROCKFORD, IL
NPI1912330895
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209010644)
Enumeration Date2013-08-15
Last Update Date2013-08-15
Business Address
-- STACIA LANGAN SACKMASTER APN
401 ROXBURY RD
ROCKFORD, IL 61107-5075
Phone number: 815-397-7340
Mailing Address
-- STACIA LANGAN SACKMASTER APN
401 ROXBURY RD
ROCKFORD, IL 61107-5075
Phone number: 815-397-7340
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