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1003572470
SHANNON LYNN WHITLEY
PERU, IL
NPI
1003572470
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.023633)
Enumeration Date
2021-11-10
Last Update Date
2021-11-10
Business Address
SHANNON LYNN WHITLEY APRN
1650 MIDTOWN RD
PERU, IL 61354-1200
Phone number: 815-223-6843
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Mailing Address
SHANNON LYNN WHITLEY APRN
1322 W MADISON ST
OTTAWA, IL 61350-2565
Phone number: 815-822-1077
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