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1912330895
STACIA LANGAN SACKMASTER
ROCKFORD, IL
NPI
1912330895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209010644)
Enumeration Date
2013-08-15
Last Update Date
2013-08-15
Business Address
STACIA LANGAN SACKMASTER APN
401 ROXBURY RD
ROCKFORD, IL 61107-5075
Phone number: 815-397-7340
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Mailing Address
STACIA LANGAN SACKMASTER APN
401 ROXBURY RD
ROCKFORD, IL 61107-5075
Phone number: 815-397-7340
Copy
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