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1184305260
SHYLAH NICOLLE HEATH
MARION, IL
NPI
1184305260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043.133858)
Enumeration Date
2023-07-31
Last Update Date
2023-07-31
Business Address
SHYLAH NICOLLE HEATH LPN
11531 SUNDERLAND RD
MARION, IL 62959-8274
Phone number: 618-964-5139
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Mailing Address
SHYLAH NICOLLE HEATH LPN
105 S 11TH ST
HERRIN, IL 62948-3653
Phone number: 618-521-0766
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