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Individual

AAMI N. MOLLOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
435 N MULFORD RD, ROCKFORD, IL 61107-5189
(815) 399-5279
Mailing address
435 N MULFORD RD, ROCKFORD, IL 61107-5189
(815) 399-5279

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001007
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
147001007
IL
Enumeration date
01/18/2006
Last updated
03/07/2014
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