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1427493212
KENI SHERRELL
CARBONDALE, IL
NPI
1427493212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043113930)
Enumeration Date
2013-05-07
Last Update Date
2013-05-07
Business Address
-- KENI SHERRELL LPN
305 W JACKSON ST STE 402
CARBONDALE, IL 62901-1474
Phone number: 618-529-4711
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Mailing Address
-- KENI SHERRELL LPN
500 RUSHING DR
HERRIN, IL 62948-3748
Phone number: 618-998-8808
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