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1225226269
SHARON RUTH SWAN
CRYSTAL LAKE, IL
NPI
1225226269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043.049805)
Enumeration Date
2007-10-03
Last Update Date
2007-10-03
Business Address
Mrs. SHARON RUTH SWAN L.P.N.
440 S MCHENRY AVE
CRYSTAL LAKE, IL 60014-7147
Phone number: 815-356-8773
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Mailing Address
Mrs. SHARON RUTH SWAN L.P.N.
8710 HICKORY AVE
CRYSTAL LAKE, IL 60014-6818
Phone number: 815-477-7211
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