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Individual

MRS. CARRIE ELAINE FLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, MSN

Contact information

Practice address
4141 N ROCKTON AVE, ROCKFORD, IL 61103-1593
(815) 316-1500
(815) 316-1745
Mailing address
4141 N ROCKTON AVE, ROCKFORD, IL 61103-1593
(815) 316-1500
(815) 316-1745

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
041283000
IL

Other

Enumeration date
07/21/2021
Last updated
07/21/2021
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