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1003388463
TIFFANY ANN SHINNICK
PERU, IL
NPI
1003388463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209018490)
Enumeration Date
2018-12-26
Last Update Date
2018-12-26
Business Address
TIFFANY ANN SHINNICK
1650 MIDTOWN RD
PERU, IL 61354-1200
Phone number: 815-220-2645
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Mailing Address
TIFFANY ANN SHINNICK
1650 MIDTOWN RD
PERU, IL 61354-1200
Phone number:
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