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1700495819
MEGHAN JO SHACKLETON
MARION, IL
NPI
1700495819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.021677)
Enumeration Date
2020-07-24
Last Update Date
2022-08-08
Business Address
MEGHAN JO SHACKLETON NP-C
3111 WILLIAMSON COUNTY PKWY
MARION, IL 62959-5235
Phone number: 618-519-9200
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Mailing Address
MEGHAN JO SHACKLETON NP-C
109 CALIFORNIA ST PO BOX 577
CARTERVILLE, IL 62918-0577
Phone number: 618-519-9200
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