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1245571819
JAYMA R. SHANE
PEORIA, IL
NPI
1245571819
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Former Name
JAYMA R PERRY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IL 209.010281)
Enumeration Date
2013-03-07
Last Update Date
2017-10-03
Business Address
Ms. JAYMA R. SHANE CRNA
8600 N STATE ROUTE 91 SUITE 250
PEORIA, IL 61615-9541
Phone number: 309-692-5393
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Mailing Address
Ms. JAYMA R. SHANE CRNA
8600 N STATE ROUTE 91 SUITE 250
PEORIA, IL 61615-9541
Phone number: 309-692-5393
Copy
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