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1063669661
TILITHA S SHAWGO
SPRINGFIELD, IL
NPI
1063669661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364SA2100X Clinical Nurse Specialist, Acute Care
(Licence: IL 209.001606)
Enumeration Date
2008-08-26
Last Update Date
2008-08-26
Business Address
-- TILITHA S SHAWGO
751 N RUTLEDGE ST
SPRINGFIELD, IL 62702-4909
Phone number: 217-545-4421
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Mailing Address
-- TILITHA S SHAWGO
PO BOX 19638
SPRINGFIELD, IL 62794-9638
Phone number: 217-545-4421
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