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1396325031
SHA'TYA ANJANNAE' BIAS
QUINCY, IL
NPI
1396325031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2020014947)
Enumeration Date
2021-04-08
Last Update Date
2021-04-08
Business Address
SHA'TYA ANJANNAE' BIAS LPN
639 YORK ST RM 212
QUINCY, IL 62301-3919
Phone number: 217-222-6277
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Mailing Address
SHA'TYA ANJANNAE' BIAS LPN
1601 OLD SOUTH RIVER RD
SAINT CHARLES, MO 63303-4120
Phone number: 636-224-1210
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