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1174049209
PATRICIA SHANNON
DECATUR, IL
NPI
1174049209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043042053)
Enumeration Date
2017-08-21
Last Update Date
2017-08-21
Business Address
PATRICIA SHANNON
151 N MAIN ST
DECATUR, IL 62523
Phone number: 217-362-6262
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Mailing Address
PATRICIA SHANNON
151 N MAIN ST
DECATUR, IL 62523-1206
Phone number:
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