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1033615463
SHAMBRA CULLUM
O FALLON, IL
NPI
1033615463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209016520)
Enumeration Date
2018-04-04
Last Update Date
2018-04-04
Business Address
Ms. SHAMBRA CULLUM APN
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269-1099
Phone number: 217-994-1485
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Mailing Address
Ms. SHAMBRA CULLUM APN
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269-1099
Phone number: 217-994-1485
Copy
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