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1114994928
SHELLY JO REITEN
CHAMPAIGN, IL
NPI
1114994928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364SF0001X Clinical Nurse Specialist, Family Health
(Licence: IL 085001205)
Enumeration Date
2006-03-01
Last Update Date
2013-07-30
Business Address
-- SHELLY JO REITEN PAC
1701 W. CURTIS
CHAMPAIGN, IL 61822-9678
Phone number: 217-365-6203
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Mailing Address
-- SHELLY JO REITEN PAC
PO BOX 6002 NCW4
URBANA, IL 61803-6002
Phone number: 217-383-6792
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