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1215533245
SHANNON MARIE ROBERTS
PEORIA, IL
NPI
1215533245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209021936)
Enumeration Date
2020-12-06
Last Update Date
2020-12-07
Business Address
Mrs. SHANNON MARIE ROBERTS APRN
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2000
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Mailing Address
Mrs. SHANNON MARIE ROBERTS APRN
10203 W GUINIVERE DR
MAPLETON, IL 61547-9586
Phone number: 309-241-7178
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