MYRTISE SHEPARD

CHICAGO, IL
NPI1255880969
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043-028179)
Enumeration Date2016-09-23
Last Update Date2016-09-23
Business Address
-- MYRTISE SHEPARD
12324 S UNION UNION AVE
CHICAGO, IL 60628-6433
Phone number: 773-317-2943
Mailing Address
-- MYRTISE SHEPARD
12324 S UNION UNION AVE
CHICAGO, IL 60628-6433
Phone number: 773-317-2943
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