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1356109490
SHANNON WUESTENBERG
SYCAMORE, IL
NPI
1356109490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: IL 209029404041496759)
Enumeration Date
2024-03-12
Last Update Date
2024-03-12
Business Address
SHANNON WUESTENBERG APRN
2560 HAUSER ROSS DR STE 450
SYCAMORE, IL 60178-3185
Phone number: 815-748-3040
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Mailing Address
SHANNON WUESTENBERG APRN
1121 DUNKERY CT
SYCAMORE, IL 60178-1005
Phone number: 630-677-3946
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