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1518239649
COURTNEY NICHOLS
SHELBYVILLE, IL
NPI
1518239649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043113407)
Enumeration Date
2012-02-06
Last Update Date
2012-02-06
Business Address
-- COURTNEY NICHOLS
1810 W SOUTH 3RD ST
SHELBYVILLE, IL 62565-9595
Phone number: 217-774-2113
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Mailing Address
-- COURTNEY NICHOLS
1810 W SOUTH 3RD ST
SHELBYVILLE, IL 62565-9595
Phone number: 217-774-2113
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