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1275029175
SHANNON FAETH
ROCK ISLAND, IL
NPI
1275029175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: IL 041465792)
Enumeration Date
2018-07-03
Last Update Date
2018-07-03
Business Address
SHANNON FAETH
2701 17TH ST
ROCK ISLAND, IL 61201-5351
Phone number: 309-779-2031
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Mailing Address
SHANNON FAETH
2701 17TH ST
ROCK ISLAND, IL 61201-5351
Phone number: 309-779-2031
Copy
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