ANGELA JANE SHAW

DU QUOIN, IL
NPI1558439471
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043085477)
Enumeration Date2006-11-30
Last Update Date2007-07-08
Business Address
Mrs. ANGELA JANE SHAW LPN
119 GAS PLANT RD REA CLINIC DU QUIN
DU QUOIN, IL 63832
Phone number: 618-542-8702
Mailing Address
Mrs. ANGELA JANE SHAW LPN
PO BOX 155 REA CLINIC
CHRISTOPHER, IL 62822
Phone number: 618-724-2401
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