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Individual

MRS. DARLA JO BRADLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN, CNS-BC

Contact information

Practice address
2222 E STATE ST, SUITE 209, ROCKFORD, IL 61104-1573
(815) 988-8500
(815) 977-5956
Mailing address
2222 E STATE ST, SUITE 209, ROCKFORD, IL 61104-1573
(815) 988-8500
(815) 977-5956

Taxonomy

Speciality
Code
Description
License number
State
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
Primary
209.003000
IL

Other

Enumeration date
02/13/2013
Last updated
02/13/2013
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