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1023375409
NATASHA CHARLYN SHAFER
CARBONDALE, IL
NPI
1023375409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2012006260)
Enumeration Date
2012-04-23
Last Update Date
2018-09-12
Business Address
NATASHA CHARLYN SHAFER FNP-BC
1340 CEDAR CT STE 202
CARBONDALE, IL 62901
Phone number: 618-529-7821
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Mailing Address
NATASHA CHARLYN SHAFER FNP-BC
1340 CEDAR CT
CARBONDALE, IL 62901-5336
Phone number: 573-472-6003
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