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1962281006
DEREK BRICE WEBBER
ROCKFORD, IL
NPI
1962281006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: IL 209.028357)
Enumeration Date
2023-09-27
Last Update Date
2023-10-21
Business Address
Mr. DEREK BRICE WEBBER ACNPC-AG, MSN
1401 E STATE ST
ROCKFORD, IL 61104-2315
Phone number: 779-696-6102
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Mailing Address
Mr. DEREK BRICE WEBBER ACNPC-AG, MSN
1401 E STATE ST
ROCKFORD, IL 61104-2315
Phone number: 815-520-3698
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