Individual
GINA KASEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(815) 968-4400
Mailing address
PO BOX 1567, ROCKFORD, IL 61110-0067
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041338291
IL
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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