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1215265327
MILDRED ELAINE SHAFER
PEORIA, IL
NPI
1215265327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LN0005X Nurse Practitioner Neonatal, Critical Care
(Licence: IL 209000900)
Enumeration Date
2009-12-01
Last Update Date
2009-12-01
Business Address
MS. MILDRED ELAINE SHAFER APN
530 NE GLEN OAK AVE
PEORIA, IL 61637-0002
Phone number: 309-683-6740
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Mailing Address
MS. MILDRED ELAINE SHAFER APN
7918 W THORNRIDGE DR
MAPLETON, IL 61547-9347
Phone number: 309-683-6740
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