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Individual

MICHELLE RODGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
134 E 162ND ST, SOUTH HOLLAND, IL 60473-2109
(708) 639-1559
Mailing address
134 E 162ND ST, SOUTH HOLLAND, IL 60473-2109
(708) 639-1559

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
08/23/2018
Last updated
08/23/2018
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