AMRITA JAIPRAKASH

ROCKFORD, IL
NPI1912602590
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-03
Last Update Date2023-04-05
Business Address
AMRITA JAIPRAKASH DO
1221 E STATE ST
ROCKFORD, IL 61104-2231
Phone number: 815-972-1037
Mailing Address
AMRITA JAIPRAKASH DO
1221 E STATE ST
ROCKFORD, IL 61104-2231
Phone number: 815-972-1037
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