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1194422816
SYDNEY L SHACKELFORD
MATTOON, IL
NPI
1194422816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209026592)
Enumeration Date
2023-02-13
Last Update Date
2023-02-13
Business Address
SYDNEY L SHACKELFORD FNP
1000 HEALTH CENTER DR
MATTOON, IL 61938-4644
Phone number: 217-258-2440
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Mailing Address
SYDNEY L SHACKELFORD FNP
1005 HEALTH CENTER DR STE 201
MATTOON, IL 61938-4653
Phone number: 217-868-2812
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