LILA SULLIVAN

SHELBYVILLE, IL
NPI1073884904
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043069581)
Enumeration Date2012-01-24
Last Update Date2012-01-24
Business Address
-- LILA SULLIVAN
1810 W SOUTH 3RD ST
SHELBYVILLE, IL 62565-9595
Phone number: 217-774-2113
Mailing Address
-- LILA SULLIVAN
1810 W SOUTH 3RD ST
SHELBYVILLE, IL 62565-9595
Phone number: 217-774-2113
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