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1437494465
JIMMIE SHAWN ROGERS
WAUKEGAN, IL
NPI
1437494465
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043110941)
Enumeration Date
2012-12-03
Last Update Date
2012-12-03
Business Address
-- JIMMIE SHAWN ROGERS
3002 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8200
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Mailing Address
-- JIMMIE SHAWN ROGERS
3002 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8200
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