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1407499189
SHELBY BREWER
CHARLESTON, IL
NPI
1407499189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209020042)
Enumeration Date
2019-10-24
Last Update Date
2020-10-06
Business Address
SHELBY BREWER
25 W LINCOLN AVE
CHARLESTON, IL 61920-3070
Phone number: 217-345-9600
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Mailing Address
SHELBY BREWER
25 W LINCOLN AVE
CHARLESTON, IL 61920-3070
Phone number: 217-345-9600
Copy
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