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1194279000
SHAUNA L BIVENS
PEKIN, IL
NPI
1194279000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209014443)
Enumeration Date
2016-08-09
Last Update Date
2016-08-09
Business Address
-- SHAUNA L BIVENS FNP
3400 GRIFFIN AVE.
PEKIN, IL 61554
Phone number: 309-347-4277
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Mailing Address
-- SHAUNA L BIVENS FNP
3400 GRIFFIN AVE.
PEKIN, IL 61554
Phone number: 309-347-4277
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